Materia_Medica: Vis Medicatrix Naturae
Transcription
Materia_Medica: Vis Medicatrix Naturae
Materia Medica Vis Medicatrix Naturae Volume I Glen Swartwout A.B., B.D., O.D., N.D., F.I.C.A.N., F.C.S.O. Published by Healing Oasis Hilo, Kingdom of Hawai'i Copyclaim MMXII by Rev. Dr. Glen Swartwout This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License. To view a copy of this license, visit: http://creativecommons.org/licenses/by-sa/3.0/ Books by Rev. Dr. Glen Swartwout Refreshing Vision: Opening the Windows of the Soul Cataract Solutions: Prevention & Reversal Via Accelerated Self-Healing Healing Glaucoma Macular Degeneration... ...Macular Regeneration Natural Eye Care: An Encyclopedia (with Marc Grossman, O.D., L.Ac.) The Shire: Cultivating Your Future Self Materia Medica: Vis Medicatrix Naturae Vol. I Anima Medica: Vis Medicatrix Naturae Vol. II Electromagnetic Pollution Solutions Biofields: The New Physics of Health Nous Energy: Healing Power of the Pyramids Newsletter & Videos http://drglen.weebly.com 2 Table of Contents: Vis Medicatrix Naturae Volume I: Materia Medica Foreword iii Preface v Introduction vii Dedication ix Solutions 1 Risk Factors 5 Lifestyle, Stress Management & Exercise 35 Milieu: Water & Biological Terrain 37 Diet, Food Sensitivities, and Allergies 49 Neuroprotection 53 Free Electrons & Antioxidants 59 Reverse AGEing 67 Immune Modulators 71 Minerals 95 Vitamins 241 Essential Fatty Acids & Oils 267 Amino Acids & Polypeptides 301 Communicators: Hormones, Neurotransmitters & Prostaglandins 365 Enzymes: Amplifiers 373 Probiotics: Symbionts 377 Carbohydrates: Sugar, Starch & Fiber 385 Botanical Allies 409 Signals: Homeopathy, Sarcodes & Nosodes 513 Quantum Energy: Color, Light and EMF 515 Acupuncture & Electro-Acupuncture 517 Materia Medica Outro 519 Afterward 521 Conclusion 523 Postscript 525 Glossary 527 Bibliography 533 About the Author 537 Volume II: Anima Medica Foreward v Preface vii Introduction ix Dedication xi Solutions 1 Risk Factors 5 Lifestyle, Stress Management & Exercise 9 Milieu: Water & Biological Terrain 11 Diet, Food Sensitivities, and Allergies 17 Free Electrons & Antioxidants 21 Reverse AGEing 25 Immune Modulators 27 Minerals 29 Vitamins 65 Essential Fatty Acids & Oils 67 Amino Acids & Polypeptides 69 Communicators: Hormones, Neurotransmitters & Prostaglandins 71 Enzymes: Amplifiers 73 Probiotics: Symbionts 75 Carbohydrates: Sugar, Starch & Fiber 77 ii Glen Swartwout Botanical Allies 81 Signals: Homeopathy, Sarcodes & Nosodes 103 Quantum Energy: Color, Light and EMF 129 Acupuncture & Electro-Acupuncture 237 Outro 291 Afterward 293 Conclusion 295 Postscript 297 Glossary 299 Bibliography 305 About the Author 309 Glen Swartwout Foreword This book is a hallway with many great and fantastic rooms along its corridor. Each room is arrayed with its own decor and theme, and each one, too, leads on to greater spaces not yet seen from here, but hinted at by beckoning sound and playing shafts of light, by wafting breezes of the freshness of flowers and the delicate dampness of the dew... Glen Swartwout Preface This book draws on a life spent exploring the diverse terrains of natural healing not only out of necessity, but out of fascination, affinity and ultimately love. I love how this creation works with seemless interweaving, and endless variety. I learn through careful observation at each new stage in healing, not only my own, but the thousands of people I have measured and fitted with precisely matched natural medicines, many of which are the topics of this book. My mission here is to share my mind with you, dear reader. This is a mind that works contextually, relationally, synthetically... a mind that seeks the fullness of the truth, and the details of each story within it, and then explores every avenue at hand to map out the fullness of that terrain. You could say I am a collector of natural remedies. My job here is to organize a comprehensive, if never complete, tour of the landscape of natural healing, what I call accelerated self healing... Glen Swartwout Introduction Historically there have been, and continue to be many different approaches to the art of healing. What I love the most about biocommunication is the ability to cross-reference many if not all of those competing conceptual structures about the nature of this life and its perfection within the same linguistic, syntactic structure that is the native tongue of this biological vessel in which we dwell here for a time... It is the intent of these Volumes to begin a conversation in which we lay out a map of the very fullness of the terrains and contents of Nature's cornucopia of healing. All the while, we may well bear in mind that the journey of each Soul through those landscapes is unique. Yet, the tools, like map and compass, and a little familiarity with the modalities of navigation can suit our journey well, whether Captain of our own Ship, or Navigator and interpreter of the meanings of the sky and waves. Glen Swartwout Dedication To my chief Apprentice and best of companions, S.L. Luscombe who keeps me anchored here, and supplies so many inspirations. Thank you. Solutions Solutions to life and health issues can take many forms. Nature is ultimately the source for all at the most basic level, but the manner in which natural ingredients are processed, the energies they are exposed to, and even the intentions and thought forms which become associated with them along the way have profound effects on their potential for healing or harm. Allopathy Synthetic drugs, radiation, chemotherapy, and surgery tend to contravene the healer's oath to first do no harm, especially when offered as the first or only option for healing support. Allopathy means the introduction of a new disease. Beyond the nature of the medicine itself, the application, and more specifically the intention with which it is applied, makes a profound difference in the outcomes produced as well. Half of the toxins in our tissues are from our thoughts. And half of the healing we are capable of resides there as well... Suppression The dark side of healing goes deep. Allopathy approaches disease through diagnosis and treatment, or as it is called more appropriately and more often these days, disease management. Disease here means a diagnostic category, something that exists in the mind of the diagnostician, and can, like a new disease, be transmitted to the mind of the poor patient. Drug and surgical treatment are also new diseases in themselves, and rarely do they even hope to cure the original disease, or even remove or mitigate an underlying cause. The typical therapeutical goal is to suppress the most annoying expression of the body's lonely attempts to heal itself. If only someone were really willing to listen, and stop trying to shoot down the messenger... Suppression of symptoms increases the body's toxic burden and increases the layers of Materia Medica need for real healing. Real healing can only be facilitated by addressing the sources of an issue, not the symptoms. Symptoms are the wagging tail of the active causal chains of interrelated activities going on constantly within the intelligent body. Efficient and rapid healing comes when address the head of the causal chain on each successive layer of activity of the vital force, the minding body, the brilliant energetic regulatory system that keeps us alive. Substitution When treatment attempts to independently accomplish what a function of the body is designed to do, there can be a tendency for the physiological pathways to lack the stimulus necessary to maintain even the weak level of function that they have been trying to sustain. Examples may include hormone supplementation, such as thyroid, digestive aids such as hydrochloric acid and enzymes. Palliation Treating a symptom may temporarily improve quality of life by palliating the grossly observable behavior of the biological system, but any lasting healing benefits will be incidental and unplanned. Unfortunately many attempts at palliation, such as with pain killers and anti-inflammatories prevent the completion of proper healing by over-alkalizing affected tissues, leading to recurrent symptoms and chronic degenerative states. Such pH effects will be introduced in the section on the Biological Terrain. Support Providing the fundamental building blocks of health and function, when they are deficient or inefficiently utilized, supports the body's innate physiological healing mechanisms to function more efficiently and effectively. This could include fundamental nutritional needs like minerals, vitamins, amino acids, fatty acids and nutritional cofactors not considered essential for survival, but essential for optimum health and performance, like trimethyglycine to support optimum methylation or even supplying free electrons to optimize antioxidant performance. Food is a fundamental support for life and healing processes. Thus, we recall the perrenial truth from Hippocrates, the Father of Medicine, "Let your food be your medicine and your medicine be your food." 2 Glen Swartwout Stimulation Ultimately healing is an action made by the body. Stimulatory medicines such as homeopathy or flower essences accentuate the biocommunication function of medicines as a stimulus to produce a broader healing response by the organism. Beyond all this is the timing of the intervention. Harmful treatments must be licensed by process of Commercial Law in order to regulate the damage achieved against its public Orcs in training. Information therapies seek to support simultaneous and integrating coherence in the bio bodysuit, the minding body and its spirit vessel, the immortal, superconducting and superfluid soul. Risk Factors Accidents Accidental deaths taken together are the #5 ranked cause of death in our culture. Accidental deaths in modern culture occur most often by motor vehicles (10.9 per year per 100,000 population, with about 4 per 100,000 of these related to alcohol), poisoning (10.7 per 100,000) or falling (8.4 per 100,000). If considered separately, suicide (#10 cause of death) outranks each of these categories (12.4 per 100,000). Conventional Medicine: Drugs & Surgery By the most careful and considered estimates, modern medicine kills about a million Americans a year. Even by the most conservative JAMA self evaluations, the number tops 200,000 a year, making our way of 'health care' at least one of the top 3 causes of lost health and life. Between 80 and 95% of iatrogenic events go unreported, so 'health' care is undoubtedly the leading cause of death and disability. Leape LL. Error in medicine. JAMA. 1994 Dec 21;272(23):1851-7. Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995 Jul 5;274(1):29-34. Vincent C, Stanhope N, Crowley-Murphy M. Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract. 1999 Feb;5(1):13-21. Bates DW. Drugs and adverse drug reactions: how worried should we be? JAMA. 1998 Apr 15;279(15):1216-7. Dickinson, JG. FDA seeks to double effort on confusing drug names. Dickinson 's FDA Review . 2000 Mar;7(3):13-4. Materia Medica The leading causes of death in America based on the medical diagnosis being treated at the time of death are: Heart disease: 597,689 Cancer: 574,743 Chronic lower respiratory diseases: 138,080 Stroke: 129,476 Accidents: 120,859 Alzheimer's disease: 83,494 Diabetes: 69,071 Kidney disease: 50,476 Flu and Pneumonia: 50,097 Suicide: 38,364 When the doctors at Harvard Medical School checked on their diagnoses by comparing them with autopsy results, one of the best hospitals in the country had been treating 2 out of 3 patients for a disease they didn't even have. Simply entering a hospital incurs a number of serious risks: 2.1 percent chance of a serious adverse drug reaction Lazarou J, Pomeranz B, Corey P. Incidence of adverse drug reactions in hospitalized patients. JAMA. 1998;279:1200-1205. 5 percent to 6 percent chance of acquiring a nosocomial (hospital) infection Weinstein RA. Nosocomial Infection Update. Special Issue. 4 percent to 36 percent chance of having an iatrogenic injury in hospital (medical error and adverse drug reactions) Leape LL. Error in medicine. JAMA. 1994 Dec 21;272(23):1851-7. 17 percent chance of a procedure error Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003 Feb 4;138(3):161-7. 6 Glen Swartwout The risks of iatrogenic death associated with allopathic medicine are estimated to cause about 800,000 to 1,200,000 deaths a year in America: Adverse Drug Reactions: 106,000 Lazarou J, Pomeranz B, Corey P. Incidence of adverse drug reactions in hospitalized patients. JAMA. 1998;279:1200-1205. Suh DC, Woodall BS, Shin SK, Hermes-De Santis ER. Clinical and economic impact of adverse drug reactions in hospitalized patients. Ann Pharmacother. 2000 Dec;34(12):1373-9. Medical error: 98,000 IOM Thomas et al., 2000; Thomas et al., 1999. Institute of Medicine. Bedsores: 115,000 Xakellis, G.C., R. Frantz and A. Lewis, Cost of Pressure Ulcer Prevention in Long Term Care, JAGS, 43 5, May 1995. Barczak, C.A., R.I. Barnett, E.J. Childs, L.M. Bosley, "Fourth National Pressure Ulcer Prevalence Survey", Advances in Wound Care, 10- 4, Jul/Aug 1997 Infection: 88,000 Weinstein RA. Nosocomial Infection Update. Special Issue. Forth Decennial International Conference on Nosocomial and Healthcare-Associated Infections, Morbidity and Mortality Weekly Report (MMWR), February 25, 2000, Vol. 49, No. 7, p. 138. Malnutrition: 108,800 Greene Burger S, Kayser-Jones J, Prince Bell J. Malnutrition and Dehydration in Nursing Homes:Key Issues in Prevention and Treatment. National Citizens' Coalition for Nursing Home Reform. June 2000. http://www.cmwf.org/programs/elders/burger_mal_386.asp Outpatients: 199,000 Starfield B. Is US health really the best in the world? JAMA. 2000 Jul 26;284(4):483-5. Starfield B. Deficiencies in US medical care. JAMA. 2000 Nov 1;284(17):2184-5. Materia Medica Lazarou J, Pomeranz B, Corey P. Incidence of adverse drug reactions in hospitalized patients. JAMA. 1998;279:1200-1205. Weingart Unnecessary Procedures: 37,136 Calculations detailed in Unnecessary Surgery section, from two sources: http://hcup.ahrq.gov/HCUPnet.asp and US Congressional House Subcommittee Oversight Investigation. Cost and Quality of Health Care: Unnecessary Surgery. Washington, DC: Government Printing Office, 1976 HCUPnet, Healthcare Cost and Utilization Project for the Agency for Healthcare Research and Quality. Surgery-Related: 32,000 Barczak, C.A., R.I. Barnett, E.J. Childs, L.M. Bosley, "Fourth National Pressure Ulcer Prevalence Survey", Advances in Wound Care, 10- 4, Jul/Aug 1997 National Vital Statistics Reports. Vol. 51, No. 5, March 14, 2003. Total deaths 783,936 per year http://ourcivilisation.com/medicine/usamed/deaths.htm Cancer is considered the cause of one in every four American deaths each year, with over a half million deaths each year, but most cancer patients don't actually die from their cancer, but rather from related issues of malnutrition that is not being adequately addressed by slash and burn medicine, and liver or kidney failure related to toxic medical treatments. 90% of oncologists would not personally take the treatments they prescribe. Government: Commerce, Corporations, Prohibitions & Other Wars Directly or indirectly, governments have killed more humans in the past century than all other causes of death throughout history. Conventional medicine and its methods have become licensed in the past century because of the harm they do. In law, a license is necessary when permitting harm to be done in a regulated manner. Governments prosecute wars. Corporations supply the materials at profit. Corporations also 8 Glen Swartwout supply the public will at profit. Today the same three corporations that supply the war machine also own the mass media. Banks loan 'money' to allow governments to go into debt to prosecute wars longer than otherwise possible. Governments are required by banks to pay the debts of the losing nation if they are victorious. Fictions alone win wars (governments, banks, corporations). People always lose. On both sides of the imaginary line... Just say no to drugs and those who push them. Stimulants & Other Addictions Stimulants such as refined sugar (see below), chocolate, cola, coffee, and even addiction to novelty or excitement, are like living on a credit card. When we borrow energy from reserves, we eventually run out. Adrenal glands become exhausted. We ultimately lose physiological flexibility. We need that cup of caffeine just to get going, or just to ward off a withdrawal headache. Some people find it difficult to escape the vortex of a virtual world of sex or violence, with these adrenalizing themes dominating use of the internet and video games. Violence is increased by use of stimulants and mood stabilizing drugs. Anti-depressants may be the worst class of drugs, increasing violent acts by 840% over and above that caused by other prescription drugs. While anti-depressants raise SAMe levels, they make the underlying depression. Violence is also associated with alcohol abuse... Alcohol, Sugar and Refined Foods Alcohol is considered to cause about 80,000 deaths a year in America, making it the #3 lifestyle related cause of death, on average cutting 30 years off each of those lives. Alcohol is the fastest burning sugar, and refined carbohydrates break down quickly into sugar as well. The sugars are spirit mineral carriers in nature, but when processed and refined become weaponized, empty vessels capable of carrying away the substantial elements of the soul vessel in the form of M-state minerals, while also depleting other essential nutrients in the body that would be supplied along with the sugars in a whole, fresh, ripe food. With the advent of mass access to refined sugar and grains, the modern range of diseases from myopia to cancer began to become epidemic. Materia Medica Tobacco Smoking tobacco causes approximately 418,000 deaths each year to smokers, and 65,000 additional deaths through passive smoking. Compare this to 105,000 deaths from alcohol, 43,500 from auto accidents, 24,000 homicides, 22,500 deaths from AIDS, 4,500 related to all illegal drugs, and 4,200 from fires. Smoking affects everyone. Second hand smoke alone kills more non-smokers each year than alcohol, auto accidents, homicides, AIDS, fires and illegal drugs! Smoking is also the number one cause of fires that result in loss of life. Children whose parents smoke have more respiratory infections and other lung problems, including reduced lung development. All told, smoking costs America $100 billion dollars a year, much of which is paid in higher taxes for government health programs, as well as other health insurance and medical costs. Taxes even pay for millions of dollars in subsidies to support tobacco lobby giants like R.J. Reynolds and Philip Morris. With nearly one in every five deaths linked to smoking, it should be clear that the health care profession should work diligently to support all patients in quitting. With this all-natural herbal anti-addiction program to help smokers quit in 7 days, we are very excited about the hope this gives to so many addicted smokers and their families. The program has proven itself 95% effective, even for long-term and heavy smokers. With over 60 million Americans using tobacco every day, almost everyone in America is affected in some way. We certainly need to pull together and help each other out if we are to accomplish the kind of change in these statistics that is now achievable with a proven, safe and effective program. A breakthrough in preventive medicine: Quit Smoking in 7 Days. No nicotine. All natural. Controls cravings. Eliminates tissue residues. Fact: 18.7% of our adult patients smoke. Smoking causes more premature deaths than AIDS, drug abuse, alcohol, injury, suicide and homicide combined! Smoke is a major factor in both cardiovascular disease and cancer, even for non-smokers exposed to environmental tobacco smoke (ETS). ETS, a class A carcinogen, causes 53,000 deaths a year according to the EPA. Fact: 25% of expectant mothers smoke. Smoke increases spontaneous abortion, doubles low birth weight and is responsible for 10% of infant deaths. 10 Glen Swartwout Fact: 26% of high school students smoke. 90% of tobacco addiction starts in children and adolescents. Smoking among 8th graders increased 30% between 1991 and 1994. Students who smoke heavily are 30 times more likely to try illegal drugs. 23% of high school students try to quit in a given 6 month period. They need your guidance to find effective support. Fact: Smoking cost Hawai'i $292 million in 1994. Businesses pay $4600 extra annually per smoker through insurances, absenteeism and decreased productivity. Smokers are 50% more likely to be hospitalized, and have 50% higher absenteeism. Smoking hurts everyone. SmokeFree The SmokeFree Program has a tremendous success rate among those who have used the program and remained off tobacco products. The product is designed for all nicotine addictions: cigarette smoking, chewing tobacco and snuff. As with any program, those who succeeded had a true desire to quit. 1. A is for the Addiction: The first product is the Anti-Addiction Capsules labelled Formula-A. These capsules contain a blend of 16 all-natural herbal ingredients. They work on the habit of smoking - everything from lighting the cigarette and smoking it, to all the surrounding habits every smoker has and probably doesn't even realize. Some of these habits are: always knowing where your cigarettes are, lighting up before starting the car, lighting up after a meal or when hearing the phone ring. Little habits not addressed in other 'stop smoking' products that for the tobacco user create a sense of loss. This normally leads the smoker to thinking of smoking which ultimately guides him back to tobacco use. The capsules now go to work. The ingredients in the anti-addiction capsules are: Latin botanical name (Common name) Part Capsicum longum (Cayenne pepper) dry fruit Carthamus tinctorius (Safflower) flower powder Cymbopogon citratus (Lemon Grass: leaf powder Materia Medica Echinacea purpurea (Echinacea) root Eleutherococcus senticosus (Siberian Ginseng) root powder Glycirrhiza glabra (Licorice) root powder Hordeolum vulgare (Barley) grass leaf powder Lobelia inflata (Lobelia) leaf & stem powder Mentha piperita (Peppermint) leaf powder Myrica cerifera (Bayberry) root powder Passiflora incarnata (Passion Flower) leaf & stem powder Piper longum (Pimpali) dry fruit powder Piper nigrum (Black pepper) Bioperine dry fruit powder (enhances bioavailability) Sambucus nigra (Elderberry) flower extract Smilax spp. (Sarsaparilla) root powder Zingiber officinalis (Ginger) root powder 2. B is for the Being Nicotine-Free: The second product is the Denicotizer, Formula-B. These capsules contain a blend of 12 all-natural ingredients. They assist the body in ridding itself of nicotine the body has stored over the years of smoking. The body would rid itself of this stored nicotine naturally after a person quit using tobacco, however, this could take many months. During that time, a former tobacco user would be vulnerable to the nicotine in the body demanding more. In order to have a successful 'stop smoking' program, it is essential to cleanse the body of nicotine. In any program dealing with addictive substances, the first need is to cleanse the body of the addictive substance. Nicotine is the most addictive substance known. In 1988, the U.S. Surgeon General reported that "nicotine is just as addictive as heroin and cocaine." The natural ingredients in Formula-B are: Latin botanical name (Common name) Part: Arctium lappa (Burdock) root Berberis aquifolium (Oregon Grape) root powder Fel tauri (Ox gall) bile powder Hordeum vulgare (Barley grass) leaf powder Hydrastis canadensis (Golden Seal) leaf & stem powder Hyssopus officinalis (Hyssop) leaf powder 12 Glen Swartwout Medicago sativa (Alfalfa) leaf & stem powder Myrica cerifera (Bayberry) root powder Rhamnus frangula (Buckthorn) bark powder Rhamnus pershiana (Cascara sagrada) bark powder Taraxacum officinale (Dandelion) root powder Zingiber officinalis (Ginger) root powder 3. C is for the Continuation of the Cleansing-support: The Maintenance capsules for continued detoxification of nicotine and anti-addiction support are labelled Formula-C. The formula is nearly identical to Formula-A and contains the same herbs. 4. D is for Dabbing for the Cravings: The fourth product in the SmokeFree Program in The Essential Solution for cravings, called Formula D. This is an aromatherapy product. When getting an urge to smoke, place a drop of the liquid on your finger and rub it under your nose, then take a few deep breaths. The aroma will travel to the demand center and help satisfy the urge to smoke. If needed, also dab the essential oils on your temples and wrists, where circulation is close to the surface for systemic absorption. The essential oils in this formula are: Ylang Ylang Rosemary Peppermint Lemon Camphor (if blending your own formulas, leave out Camphor as it can build up in body tissues) Eucalyptus To begin the program, throw away all cigarettes, take the anti-addiction capsules at night before going to be, then continue the program for the next seven days as directed. Upon completion of the program, you should be 'smoke-free.' If you were to light up, your reaction would be similar to the first time you had a cigarette and experienced the coughing, gagging, or dizziness. It simply would not taste good. More options can be provided for those in need: Nutrition for the Smoke-Ender: Materia Medica Vitamins: A: Vitamin A & Carotenoids are protective to the linings of the lungs. Limit Vitamin A intake if pregnancy is a possibility. 25,000 to 35,000 I.U. of beta carotene daily is suggested. B: B-Complex Vitamins (Coenzymate B Complex, 1-3 times a day early in the day) supports cellular energy and nerve functions. Activated forms of B vitamins bypass the need for other factors before they can be utilized. Vitamin B1 (up to 100 mg/day) is important to prevent nerve damage by nicotine. Vitamin B3 (Flush Free Niacin) can reduce cravings. Avoid high levels of straight niacin if there is liver stress. Vitamin B5 (up to 1,500 mg/day) helps support adrenal function. Vitamin B6 (up to 50 mg/day) helps support adrenal function. Vitamin B12: Extra sublingual B12 (Methylcobalamin) is also helpful for neuroprotection. TMG (up to 3 scoops of 500 mg daily dissolved under the tongue or in drinks). Trimethylglycine is an antioxidant, oxygenator and energizer. Phosphatidyl Choline (PhosChol 900, up to 3 a day) supports sensory nerve function as a precursor for the neurotransmitter Acetyl-choline, which is depleted by nicotine. Repleating this important brain nutrient helps reduce tobacco cravings. C & P: Vitamin C & Bioflavonoids at least 1,500 to 3,000 mg/day (Magnesium ascorbate or polyascorbate/ester). Maxogenol (up to 3 a day) supplies bioflavonoids (OPCs) as protective antioxidants. E: 14 Glen Swartwout Vitamin E (Unique E, 1-2 capsules daily). Unique E supplies the only stable, undiluted, unalterred Vitamin E complex supplement available. As much as 3,000 I.U. per day is suggested by some authorities. Q: Coenzyme Q10 (up to 400 mg/day, e.g. CoQ10 with Hawthorn up to 4 times a day) if there are any indications of heart stress. Minerals: Ca: Calcium is alkalizing and helps with detoxification. Alkalizing reduces both cravings and cleansing symptoms. MCHA Calcium (up to 3 times a day) is recommended, as it doubles Calcium absorption by stimulating the active absorption channel. Mg: Magnesium (up to 800 mg/day as Magnesium glycinate, taurate and/or ascorbate) helps relax muscles and nerves, and allows improved circulation. S: Sulphur (high potency NAC, up to 2 a day) is one of the top 4 minerals in the body and is essential for both detoxification and antioxidant protection (e.g. as glutathione). Se: Selenium monomethionine (200 mcg/day) is the preferred organic form. Selenium works synergistically with Vitamin E to protect cells against free radical damage. Zn: Zinc monomethionine (Opti-L-Zinc) is one of the best-absorbed forms. Multi: Multivitamin/mineral provides essential vitamins and minerals. Materia Medica Homeopathic Multivitamin/mineral/amino/cofactor/botanical/glandular (Natural Resource A-Z) stimulates cellular uptake and utilization of other nutritional products. When taking B vitamins, bright yellow urine indicates intestinal absorption, but a lack of cellular utilization. When Natural Resource A-Z is added, urine becomes less yellow, providing visual proof of its cellular effectiveness. Glandular: Adrenal supports energy for detoxification. Brain supports nerve cell detoxification and repair. Lung provides direct support to the lung tissue for cleansing and regeneration. Thymus enhances immune function. SmokeClear-Tincture: Consider additional herbal support for quitting smoking if needed: Take 20 drops in an 8-ounce glass of microwater (or Coral-Calcium water) from 3 to 12 times a day as needed. Lobelia inflata (Lobelia) ~25% (reduce anxiety and nervousness; use short term) Trifolium praetense (Red Clover) ~13% (blood cleanser) Pfaffia paniculata (Suma) ~13% (adaptogen) Hyssopus officinalis (Hyssop) ~13% (cleansing) Rumex crispus (Yellow Dock) ~4% (blood cleanser) Hypericum perforatum (St. John's Wort) ~4% (nerve energy) Leonurus cardiaca (Motherwort) ~4% (soothing heart/nerve tonic) Althaea officinalis (Marshmallow) ~4% (soothing) Symphytum officinale (Comfrey) ~4% (soothing) Scutellaria baicalensis (Skullcap) ~4% (reduce anxiety and nervousness) Cimicifuga racemosa (Black Cohosh) ~4% (alterative) Centella asiatica (Gotu Kola) ~4% (energizing) Mentha piperita (Peppermint) ~4% (soothing) 16 Glen Swartwout Consider adding or substituting: Ulmus fulva (Slippery Elm) ~4% (soothing, relieves lung congestion and cough) Sassafras albidum (Sassafras) ~4% Valeriana officinalis (Valerian) ~4% (reduce anxiety and nervousness) Arctium lappa (Burdock) root ~4% (blood cleanser) Capsicum annuum (Cayenne) ~1% (desensitizes mucosa to irritation) Nepeta cataria (Catnip) ~4% (reduce anxiety and nervousness) Syzygium aromatica (Clove) ~4% (reduce cravings) Bupleurum falcatum (Bupleurum)~4% (soothing and immune regulation) Plantago major (Plantain) ~4% (reduce cravings) Humulus lupulus (Hops) ~4% (reduce anxiety and nervousness) Taraxacum officinale (Dandelion) ~4% (hepatoprotection) Grifola frondulosa (Maitake) ~4% (inhibit carcinogenesis and metastasis) Silybum marianum (Milk thistle) ~4% (hepatoprotection) Zingiber officinalis (Ginger) ~4% (soothe irritation of cayenne or lobelia; detoxify through sweat) Avena sativa (Oatstraw) ~4% Passiflora incarnata (Passionflower) ~4% (reduce anxiety and nervousness) Chinese herbal formula: Bupleurum and Dragon Bone combination is very calming. Take twice a day as directed on the label, but watch for possible side effects of digestive discomfort. Complex-Homeopathy: Use the SmokeFree program with Smoke-Stop Level 1 or 2 homeopathic drops, 10 drops three times a day under the tongue on empty stomach. Smoke-Stop Level 1 Ingredients: Nicotinum 3X Calcarea-phosphorica 4X Zincum-metallicum 4X Lobelia-cardinalis 4X Selenium-metallicum 4X Lung 6X, 12X, 30X, 60X, 100X Materia Medica Hypothalamus 6X, 12X, 30X, 60X, 100X Bladder 6X, 12X, 30X, 60X, 100X Nux-vomica 12X Tabacum 12X, 16X, 24X, 100X Saccharinum 16X, 50M Plumbum-metallicum 18X Smoke-Stop Level 2 Ingredients: Calcarea-phosphorica 4X Zincum-metallicum 4X Lobelia-inflata 6X Selenium-metallicum 6X Lung 6X, 12X, 30X, 60X, 100X Hypothalamus 6X, 12X, 30X, 60X, 100X Bladder 6X, 12X, 30X, 60X, 100X Nux-vomica 12X Tabacum 12X, 16X, 24X, 100X Saccharinum 16X, 50M Plumbum-metallicum 18X Homeopathy: Any of the ingredients in the above formulas may test well as a single remedy for a given person. Another homeopathic remedy or ingredient to consider is Staphysagria for reducing cravings. This is especially indicated for women who are sensitive to what others say about them, prefering to stay alone. It can help with styes, bladder problems and cravings for stimulants as well. Bach-Flowers: Holly reduces angry feelings due to liver stress from detoxification. Impatiens reduces anxiety. Wild Oat helps establish and stick to good routines and habits. 18 Glen Swartwout Acupressure: Bladder Meridian for relaxation. Liver 3 for relaxing the nerves. Large Intestine 4 for relaxing the nerves. Lung and Pericardium (Circulation) Meridians for relaxing the chest. Conception Vessel 17 for relaxing the chest. Essential-Oils: Lavender for calming and stress-reduction. Orange for relaxing. Peppermint for nausea. A cotton kerchief can be medicated with a few drops of oil and used throughout the day as desired for aromatherapy for reducing cravings and withdrawal headaches (see Formula D above) especially when combined with exercise to promote circulation. Air-Quality: Clean the living and working environments with Oxozone equipment, and avoid exposure to smoke. Exercise & Lymph-cleansing: Gentle health bounce on Soft Bounce Rebounder, building up to 15 minutes a day Far Infrared (FIR) sauna therapy increases detoxification tremendously. Diet: Emphasize: Alkaline foods. Whole foods. Low glycemic index foods. Materia Medica Avoid: Refined sugar. Caffeine and chocolate. Alcohol. Stimulants. Toxins War Weight Management A balanced lifestyle is the key to success in a weight management program. More than 1/3 of the population of women and 1/4 of the population of men are trying to lose weight in this country at an expense of $30 billion a year. The causes of weight problems were obvious and simple in the past. The mark of wealth was an abundance of food and plenty of idle time. Our culture demands more education and discrimination from us in order to function happily and with ease in our daily lives. Our bodies are being asked to cope as well as our minds. Overweight is a sign that we are not keeping the balance between the demands of society and the needs of our mind and body. Lack of exercise and the abundance of non-nutritive food is commonplace these days and still have their place as a cause for weight problems. Now, as the role of technology has become more pervasive and an integral part of our society, new sources of this problem have emerged: Depleted food sources of vitamins and minerals Electromagnetic stresses Petrochemical toxin exposure Lack of time for relaxation and recreation Food allergies Pesticides, herbicides Synthetic chemical fertilizers Depletion of digestive enzymes from overeating, excessive stress Glandular dysfunction from lack of exercise, improper diet, lack of sunshine The body grows, repairs and maintains itself through a complex set of interactions and relationships. These basic chemical reactions depend upon nutrients received from our food and the health of the body's 20 Glen Swartwout physiology. Are we receiving food that is depleted of vital nutrients because of today's agriculture norms, i.e. chemical fertilizers and overuse of the soil? Can you identify the substances that you read on the labels of food? Are they nutritive or detrimental? Are you aware of the effects of electromagnetic stress on your physiology and your metabolism? Are the enzymes needed to breakdown and absorb nutrients still intact after the stresses of poor diet, lack of exercise, toxic exposure, free radical pathology? Are your cells starving for the proper nutrients? Has the body's ability to eliminate the waste products of everyday metabolic activity been compromised by any of the above factors as well as our cultural lack of exercise? For instance, if the body has difficulty eliminating the by- products of metabolism through the normal channels (urination, sweating, bowel evacuation) then these toxins will be an irritant to the system and this will produce "water weight" which protects the body tissues from these stored toxins. Inorganic toxins from pesticides, chemical fertilizers, synthetic drugs, food dyes, heavy metals (dental fillings, water sources) are known to be stored in fat tissue in order to protect cells that are vital to life from these life threatening toxins. Are you building up toxins faster that you are eliminating them? Food addictions, which can sometimes lead to weight problems, can also be a result of an allergy to such foods. This can be the result of a leaky gut syndrome. In this situation, the elimination function of the colon has been compromised by antibiotics taken orally, or in our food. The ecosystem of living organisms within the colon environment has been disturbed and the tissues become permeable, leaking undigested food particles into the bloodstream, stressing the immune system and the enzyme system. So it could be said that a balanced weight management system begins with establishing a healthy digestive system. As you learn how your body should function and become aware through observation how your body does function you will be more able to pinpoint those specific stresses affecting the optimum functioning of your body. Then you can incorporate this understanding into the design of your personalized weight loss and management program. Research at the University of California at Davis has shown that out of a group of 700 women evaluated, who designed their own weight loss reduction plan, 80% had not regained the weight 2 years later. Medical Tribune 1/92. A balanced lifestyle proved effective in reducing and maintaining weight loss. The following is an outline to support you in creating your own specialized program, in which the aim is to address all possible causes. This combined approach that offers a greater possibility of success. Materia Medica 1) Moderation of your eating: The single greatest factor in health and longevity is eating less. The less you eat, the better you are able to digest, absorb and metabolize the nutrients in your food. Small frequent meals maintain blood sugar and disperse nutrients throughout the day closer to when they are needed. Fasting or drastically reducing food intake can give the message to the body that it is starving. The body will respond to this message by slowing down the metabolism to make those calories stretch. Then the urge to binge emerges. You want to keep your metabolism from slowing down. In order to prevent that, make sure that your diet contains at least 10 calories per pound of your ideal bodyweight, i.e. 120 lbs=1200 calories. Eat until your stomach is two thirds full. Conserve your enzymes. Give them a chance to help out with elimination as well as digestion. If the body doesn't have to store any excess, it will use the energy already stored in the fat tissues. Refrain from drinking with your meals (unless it is Microwater): The enzymes will be diluted by fluids, which will lead to maldigestion creating more waste to be eliminated. Microwater is an exception because it has a catalytic effect that actually helps digest food and absorb nutrients. Avoid very hot or cold foods or drinks. Enzyme action is very sensitive to temperature. Enzymes are one of our most valuable resources as every action of nutrient breakdown and transport to the cells is dependent on them. Enzymes are also needed to carry the waste from the cell, to the organs of elimination. You see, enzymes are catalysts. Catalysts make things happen. 22 Glen Swartwout Follow all the rules on the chart Create your own diet plan Reduce carbohydrate intake Dr. Atkins, a well known M.D. who uses natural methods and supplementation in his practice, has found that 90% of individuals trying to lose weight will lose it with a reduction in carbohydrate intake and 10% will not benefit at all. Another interesting fact about carbohydrates is that the enzyme for digesting them is in the saliva. In this day it is common to hear mothers saying, "Don't gulp down your food", but most of us are so busy that we don't even notice when we take two chews and down it goes. Mixing the food with the saliva thoroughly will naturally reduce your intake of carbo-hydrates. Consciously try to chew your food at least 100 times per mouthful. Let the enzymes do their job. You'll save on enzymes, and prevent maldigestion of your food and an extra toxic burden on your organs of elimination. Regulate quantity and quality of fat intake Do not add extra fat in cooking. Use olive oil or butter sparingly for flavor. Avoid oxidized or potentially rancid fats, i.e. fried foods, junk foods. Use fresh, raw nuts and seeds, especially soaked, as a base for salad dressings instead of oil. Do not shop when you are hungry 2) Regular and consistent exercise Start with daily walks or swimming and work up to 3 times a week of 20 minutes of aerobic activity. Then the goal is 3-4 times a week of 40-60 minutes. To be aerobically efficient and fit will ensure the expenditure of more calories and faster weight loss. A longer low intensity workout that burns a lot of calories is best because: a) less glycogen is burned and there is a more rapid workout recovery, b) higher post workout energy levels, c) lower post workout appetite. Materia Medica Determine resting and working pulse Heart rate range: 220 - your age = maximum rate Then multiply result by 60% and 70% for the exercise heart rate range. Example: 220 - 40 = 180 180 x .60 = 108; 180 x .70 = 126 heart-rate range = 108 - 126 Increase circulation After your nice, warm shower give your circulation a boost with a cold rinse. Build the time of that cold rinse up to 5 minutes. Stimulate lymph drainage Using a rebounder from 5 to 20 minutes daily will help stimulate lymph drainage. Oxygenate the cells to increase metabolism The greater your fitness the more oxygen your muscles can use. Consider adding CellFood to your water. Utilize stored energy ATP is a molecule that stores energy for all the physiological functions of the body. Carbohydrates, fats and proteins continuously participate in the creation of new ATP. One molecule of glucose plus one molecule of oxygen will yield 36 molecules of ATP. That one molecule of glucose without the oxygen will yield only two molecules of ATP. Fat contains more than twice the potential energy of carbohydrates. One molecule of fat plus one molecule of oxygen yields 441 molecules of ATP. 24 Glen Swartwout Muscle tissue burns more calories than fat tissue 3) Supplementation to facilitate digestion and elimination and insure the presence of all nutrients for balanced metabolic functioning. A complete program can support your body in reestablishing a new level of balance. Let's begin with basic support for your enzyme system. Digeszymes will supply enzymes to a depleted system. The herbs and organ tissues in Digeszymes stimulate the different organs in the body to begin to produce more healthy functioning enzymes. A healthy digestive system will lead to a healthy elimination system. To ensure that the body is receiving all the nutrients necessary for optimum functioning, a broad-spectrum nutritional supplement is recommended including not only vitamins and minerals, but amino acids, free radical quenchers, and oxygenating substances. Your body may not have the nutrients it needs to use the energy from your food, storing it all away in fat tissues. Let's address the elimination process. I like a combination of soluble and insoluble fiber plus minerals and soothing herbs making a balanced product for the stimulation of bowel elimination. Another effective option is Chitosan marine fiber. There are studies that implicate fiber in the prevention or alleviation of irritable bowel syndrome, high cholesterol, gallstone formation, diabetes, colon cancer, arteriosclerosis and, of course, constipation. Thirty to forty grams of fiber are suggested on a daily basis. It is found in fresh fruits and vegetables and whole grains. This fiber intake from your food may be enhanced by supplementation with fiber. Fiber will stimulate the growth of good bowel bacteria, which act as the waste removal crew of the colon. These good bacteria also produce B vitamins and Vitamin K as well enzymes necessary for good bowel elimination. This wonderful bacterial support is readily destroyed by antibiotics taken orally or consumed in our foods, and by excessive stress. This is the reason for a multi-species Friendly Flora, which will help to rebuild this delicate ecosystem. If food allergies are suspect, then my homeopathic formula Food Tolerance can help to relieve the stress of allergic responses in the body and give it a chance to respond to everyday needs such as nutrient transport and waste removal. Vitamin A can help to repair the lining of the bowel, which is usually unhealthy when Materia Medica allergies are present. The immune system will then benefit by carrying less of a burden from undigested food particles escaping from the bowels into the bloodstream. Both Chromium Picolinate and Citrin reduce stored fats. The research on chromium picolinate shows us its value, from lowering insulin requirements and increasing HDL levels 16% to increasing longevity. One recent double blind study by Dr. Gilbert Kaats in San Antonio gives the main reason for including this in a weight loss program. Those who received 400-800 mcg of chromium picolinate daily for 72 days showed an average loss of 4.2 pounds of fat and a gain of 1.4 pounds of muscle. This was without any restriction in calories or increase in exercise. So imagine the results of this added to a program that does include increased exercise and modification of the diet! Plus having an Chromium also helps to regulate the blood sugar level, keeping hunger and tiredness at bay. Unfortunately, many natural weight loss products work by thermogenesis, containing undesirable ingredients like caffeine and ma huang, the herbal source of the drug ephedrine. Both of these herbal drugs overstimulate the body, leaving it ultimately more depleted in energy than it was before. Even though weight loss may be more rapid, it is harder to sustain, because the metabolism is more depleted of nutrients like Chromium, which also happen to be important for health and longevity. Citrin is a natural extract of Garcinia cambogia, a tropical fruit. The active ingredient is HCA, which stands for (-) hydroxycitric acid. It is a lipogenesis inhibitor, which means that it prevents the production of fat from carbohydrates. It reduces hunger, makes less food more satisfying, reduces production of fat and cholesterol, and even seems to stimulate the metabolism to burn off more calories. Extracts from this fruit have been used for centuries in Asia as digestive aids and in food preparation. Over 70 papers have been published in the scientific literature involving research on HCA, with no reported side effects. This safety record stands in stark contrast to most weight loss products. Stimulants used to suppress appetite, such as amphetamines, phenyl-propanolamin (PPA) and ephedrine-containing herbs such as ma huang, lead to nervousness, insomnia, rapid heart beat, drug tolerance and withdrawal symptoms. None of these effects are seen with HCA. HCA tends to reduce calorie intake by about 10% because it shunts carbohydrates where they belong - to form glycogen, rather than excess fat. This actually provides greater reserves for cellular energy and can help prevent hypoglycemia, muscle fatigue and other symptoms. Thus, you get more energy from less food, and gradually and safely approach and maintain your optimum weight. Citrin is best taken 30 to 60 minutes before eating, and results are up to 700% better when taken two or three times a day rather than just once. The maximum effect for an average size person is seen with a dose 26 Glen Swartwout of 6 to 12 grams of Cambogia extract per day, but much lower doses are effective when combined with GTF Chromium. In addition, it helps to maintain a healthy diet. We recommend a dosage of two capsules taken three times a day before meals, supplying 3 grams of Citrin plus 300 micrograms of Chromium picolinate. These few supplements will support your weight management program. 4) Encourage healthy thinking and healthy balanced habits Schedule regular times for exercise Keep a diary of foods eaten daily bringing awareness of your habits Plan your meals in advance Acknowledge the rhythms of life. There is an ebb and flow of events that lead from one state of being to the next. The Five Phases of Health can be applied to your journey towards a thinner you living a balanced lifestyle. Here are some rules of thumb for good nutrition: Freshness Eat only fresh foods that will spoil and eat them before they do. Steam your vegetables or eat them raw. A baked apple or pear may prove a satisfying breakfast or dessert treat to keep this process fun. Don't eat highly processed foods such as sugar, white bread, cookies, crackers, TV dinners, concentrated synthetic protein drinks or foods containing chemical preservatives, dyes, artificial colors, etc. Balance See that 40% of your calories are proteins, 30% fats, and 30% carbohydrates. In the reduction of carbohydrates, reduce the complex carbohydrates: rice, bread, potatoes, noodles, and increase the fruits and vegetables. Those limited complex carbohydrates that are in your program should be from whole grains. Fruit and vegetables are high in fiber and carbohydrates making them very filling and low in calories. Don't eat foods that lack nutritional value. Avoid refined and prepared foods. Materia Medica Meat Use a number of different animal foods including lamb, poultry, and fish. Either bake or broil. Remove the skin of the chicken before cooking and avoid the fat. Some fish, like sole, can be steamed. Don't overuse any one meat, especially beef. Avoid pork. Variety Use organic organ meats 1-2 times a week, liver, heart, kidney, brains, tongue and giblets. Don't constantly use the muscle meat, which is the least nutritious part of the animal. Eggs Use fertile eggs, as they provide more nutrients and are less likely to contain antibiotic sprays. When you cook them they should be either poached, or hard or soft-boiled. Don't use eggs produced by hens in small cages, force fattened, sprayed with insecticides. Oils In cooking, use sesame or olive oil made by cold pressed methods, or butter. (All in small quantities.) Don't use hydrogenated or heat-treated oils with pre-servatives. Frying Use olive oil for frying, and add onions and garlic to the oil before heating as they contain bioflavonoids, which provide antioxidants preventing the oil from oxidizing. Oxidized foods create free radical damage in the body. Warning: In a weight loss program, frying should be completely eliminated. Don't use deep fat frying as fatty acids break down at high temperatures and will create free radicals in the body. 28 Glen Swartwout Drinks Drink water, natural fruit juices, and raw milk. Emphasize the water. Use at least half your body weight in ounces daily, but only take 4 oz. at a time so as not to make the kidneys overwork. You can add lemon to your water to support the liver and the kidney in the cleansing process. Adding the lemons to your water quota, use no more than two lemons a day. Extended usage of lemons can be hard on the enamel of the teeth. Don't drink soft drinks with or without sugar; avoid stimulation drinks, which exhaust the adrenals. They have excessive amounts of phosphoric acid that disrupt the body's calcium metabolism and its ability to absorb nutrients, as well as causing the retention of excess water. Fun Use carob in place of chocolate. Don't use chocolate as it interferes with mineral utilization, contains, caffeine, and is highly allergenic. Organic Try to use organically grown fruits and vegetables as much as possible. Don't use foods that have been sprayed, fumigated, dyed, waxed or canned. Avoid GMO frankenfoods. Seasoning Use herbs to spark this adventure of balanced eating: garlic, onions, oregano, parsley, ginger, pepper, basil, cloves, curry, tumeric, rosemary, thyme, cilantro. Use honey, maple syrup, rice syrup, barley malt as sweetening in very small quantities or not at all. Reduce salt. Use seasalt (Flower of the Ocean recommended for high M-State mineral content), kelp or soy sauce (without sugar, MSG). Avoid sugar, MSG. Live Use dairy products made with raw milk as much as possible. Alta Dena is a brand that makes their cheese from raw milk. Use yogurt with live cultures of lactobacillus acidophilus and bifidus. Materia Medica Do not use processed dairy products like cheese spreads or yogurt sweetened with sugar. Vary your menu and use liberally foods that are grown locally and in season. Weight Loss Program This sample weight loss program consists of the following products and suggested dosages: Product: Dosage Suggestion. Schedule. High potency multi: up to 4 capsules per day. Take early in day with meals (half with breakfast and half with lunch is suggested). Friendly Flora: 3 capsules a day. Take one capsule before or with each meal. Open some capsules and take directly in the mouth between or after meals. Chitosan: 3 to 15 capsules a day. Take at least 3 hours apart from beneficial oils such as Flax oil, Fish oil (DHA, EPA), Evening Primrose oil (EPO), Hemp seed oil, Black Currant seed oil, Pumpkin Seed Oil, etc. Drink extra water with capsules. Take 3 at the same time. Take before bed if desired. Kelp: 6 tablets a day. Take 6 a day, with meals or chew or suck between meals, early in the day. Do not exceed 6 tablets per day for extended periods of time. One Step: 1/2 to 1 scoop (up to 6 times a day for fasting). Take 1/2 to 1 scoop in water, juice or rice milk to replace breakfast or another meal daily. 7-Keto: 1 capsule early in the day. Open capsule and hold powder in mouth for a few minutes before swallowing. Sublingual absorption bypasses the liver where 80% of DHEA is deactivated. CLA: 3 capsules a day. Take with food at least 3 hours away from Chitosan. WeightLess: 2 capsules 3 times a day. Take 30-60 minutes before meals. GTF Chromium: 1-3 a day. Take 30-60 minutes before meals or anytime for reducing sugar and carbohydrate cravings. Relora=: 2 a day. Take with food, and consider adding Withania somnifera (Ashwaganda) for stress-related comfort eating. 30 Glen Swartwout If you have any initial cleansing or detox reaction, simply reduce the dosage of these products to a comfortable level to start with. Often, after just a few days, your body will be ready to increase the amounts gently. In addition to supplements, it is important that you eat a balanced diet, emphasizing as much vegetables as you can eat. Lightly steamed vegetables are preferred, with a topping of Essential Fatty Acids. With this as the centerpiece of your diet, you can eat all you want, and still cleanse and lose weight efficiently. The other most important element in your healthy weight management lifestyle is regular exercise. Rebounding on a soft-bounce rebounder is the most highly recommended. You can start with a gentle health bounce, where your feet stay in contact with the matt of the rebounder. You simply bounce up and down very gently, pumping the lymph throughout your body that depends upon this kind of movement to remove wastes from every cell in your body. Synergy: Chromium and Citrin Chromium and Citrin both reduce stored fats. GTF Chromium not only has been shown to reduce weight and body fat, it actually increases muscle mass, which makes maintaining optimal weight much easier. This is because the natural metabolic activity of muscle tissue burns a lot more calories than does fat storage tissue. Unfortunately, many natural weight loss products work by thermogenesis, containing undesirable ingredients like caffeine and ma huang, the herbal source of the drug ephedrine. Both of these herbal drugs overstimulate the body, leaving it ultimately more depleted in energy than it was before. Even though weight loss may be more rapid, it is harder to sustain, because the metabolism is more depleted of nutrients like Chromium, which also happen to be important for health and longevity. Citrin is a natural extract of Garcinia cambogia and Garcinia indica, both of which are tropical fruits. The active ingredient is HCA, which stands for the calcium salt (-) hydroxycitric acid (Lewis,Y.S. and Neelakantan, S. Phytochemistry,4:619, 1965). Extracts from these fruits have been used medicinally, as digestive aids, and in food preparation for centuries in Asia (Nadkarni, A.K.,1976. Indian Materia Medica Vol.1 Bombay: Popular Prakashan). Over 70 papers have been published in the scientific literature involving research on HCA. These studies have shown Citrin to have at least three properties: Materia Medica Inhibition of fat synthesis and accumulation Appetite reduction Lowering of blood levels of triglycerides and cholesterol In the 1970’s at Brandeis University and Hoffman LaRoche Laboratories (Lowenstein, J.M. Effect of (-) hydroxycitrate on fatty acid synthesis by rat liver in vivo. J. Biol. Chem.,1971;246:629-32; Sullivan,A.C., Hamilton,J.G., Miller,O.N,Wheatley,V.R. Inhibition of lipogenesis in rat liver by (-)hydroxycitrate. Arch. Biochem. Biophys. 1972;150:183-190), it was found that weight gain was suppressed as a result of inhibition of fat synthesis and accumulation. This reduction in the formation of fats and lipids led to an increase in the metabolic rate at which fatty acids were broken down. This means there is an acceleration of fat burning. A reduction in hunger was also observed. HCA reduced calorie intake by about 10% or more (Sullivan, A.C., Triscari, J. Metabolic regulation as a control fro Lipid Disorders. Am.J.Clin.Nutr. 1977 30:767-776). The findings of the appetite reducing effect of Citrin suggest that this property is centered in the liver as opposed to the idea that the appetite control centers in the brain. As an appetite suppressant, there are no reported side effects. This safety record stands in stark contrast to most weight loss products. Stimulants, used to suppress appetite, such as amphetamines, phenyl-propanolamine (PPA) and ephedrine-containing herbs such as ma huang lead to nervousness, insomnia, rapid heartbeat, drug tolerance and withdrawal symptoms. None of these effects are seen with HCA. Citrin was shown to lower blood levels of triglycerides and cholesterol (Majeed, M. 1994. Citrin: A Revolutionary, Herbal Approach to Weight Management. pp.55-59). It prevents the production of fat from carbohydrates. The carbohydrates are then more readily converted into glycogen which is reserve energy stored in the liver and muscles rather than in fat. This leads to “enhanced stamina and endurance without any increase in body weight.”(Majeed, 1994) This actually provides greater reserves for cellular energy and can help prevent hypoglycemia, muscle fatigue, and other symptoms. Thus, you get more energy from less food, and gradually and safely approach and maintain your optimum weight. Oxygen, Process, Location, Energy (Citrin’s Effect) Anaerobic Glycolysis in the Cytoplasm produces 2 to 3 ATP (neutral) Aerobic Kreb’s Cycle in the Mitochondria produces 2 ATP (neutral) Aerobic Electron Transport in the Mitochondria produces 32 ATP (neutral) 32 Glen Swartwout Anaerobic Fat Synthesis in the Cytoplasm for long-term storage (inhibited) Anaerobic Glycogen Synthesis in the Cytoplasm for available storage (stimulated) The physiological mechanisms of fatty acid metabolism that were found to be affected in these various studies are focussed around the final phase of the Kreb’s cycle, in the breakdown of carbohydrates and fats. The Kreb’s cycle takes place in the mitochondria, which is known as the cell’s energy powerhouse. This cycle is a critical pathway for the synthesis of ATP. The compound ATP is the energy utilized for all physiological functions in the body. ATP liberated from glycogen offers a more readily available and easily sustained energy source than from fat. Citrin does not block the energy production enzymes in the mitochondria but only specific enzymes in the cytoplasm that produce fat from carbohydrates. One of the important functions of the liver is to ensure that the blood continually has adequate concentrations of glucose to fuel the brain with energy. The brain cannot burn fat or protein, but only glucose, thus an even supply is critical. When blood sugar drops too low, perhaps in reaction to eating an allergenic food, the liver relies on glycogen stores to prevent hypoglycemia. Symptoms often include irritability, shakiness, fatigue or weakness. By increasing reserves of glycogen, Citrin may be of benefit here as well. Combination Citrin and Chromium picolinate products are is best taken 30 to 60 minutes before eating, and results are up to 700% better when taken two or three times a day rather than just once. The maximum effect for an average size person is seen with a dose of 6 to 12 grams of Cambogia extract per day, but much lower doses are effective when combined with GTF Chromium. In addition, it helps to maintain a healthy diet. We recommend a Weight-Less dosage of up to two capsules taken three times a day before meals, supplying 3 grams of Citrin plus 300 mcg. of Chromium picolinate daily. Weight Loss Testimonial from Richard West Over the past week I lost 11 lbs. How did I do it? Simple. I took 2 or 3 Starfire StarFiber Tabs 1/2 hour before each meal with a full 8-ounce glass of water. This gave me a full feeling before I ate. Along with that I took two Starfire Weight Less caps with another glass of water. On Monday, Wednesday and Friday, breakfast consisted of two 8 ounce fresh fruit smoothies. Lunch was either skipped or a bowl of home made vegetable soup. Supper was a green salad with miso garlic dressing. I switched the soup and salad on Tuesday and Thursday for variety. I drank 8 to 10 glasses of filtered water and several glasses of jasmine tea with lots of limes, a little cayenne pepper, fresh ginger and a little honey. I also exercised every other day, which included a 30-minute jog and two short hikes over the weekend. Materia Medica People are getting fatter younger People who are obese at 40 can lose up to seven years off their life, research has found. The findings mean that being fat in middle age increases the risk of dying early as much as smoking. If a woman is obese and a smoker at 40, she risks dying 13.3 years sooner than a slim non-smoker. An obese male smoker was found to lose 6.7 years from their life expectancy. Dutch researchers analysed data from Framingham, Massachusetts. They found that even if people lost weight later on in their lives, they were still at a higher risk of dying early. Obese female non-smokers lost an average of 7.1 years and men lost 5.8. Non-smokers who were overweight, but not obese, lost three years. Prevention Obesity is defined as having a body-mass index (BMI) of 30 or above. Doctors consider a BMI of 25 or under to be healthy. BMI is calculated by dividing your weight in kilograms by the square of height in metres. Obesity is known to increase the risk of developing Type 2 diabetes and high blood pressure. Dr Anna Peeters, of the Netherlands Morbidity Research Unit says "obesity in adulthood is associated with a decrease in life expectancy of about seven years, both in men and women. "The magnitude of this loss is similar to that associated with smoking." Higher risk Dr Serge Jabbour, director of the weight-loss clinic at Thomas Jefferson University says "if you are overweight by your mid-30s to mid-40s, even if you lose some weight later on, you still carry a higher risk of dying." Research published in Annals of Internal Medicine. 34 Lifestyle, Stress Management & Exercise The locus of control is a crucial element in reducing stress and improving quality of life. When rats are exposed randomly to shocks, with no way to control the effect, they die. Rats exposed to the same frequency and severity of shocks, whenever they get food or water, are able to survive this torture. Meaningfulness of activity makes the difference between an exercise plan that will soon be forgotten, and a lifelong pursuit such as gardening that also supports improved physical fitness. When diabetics take on an exercise program, it only affects their blood sugar levels if it is something they enjoy and find meaning in... Listening for your calling, and finding you vocation is the ultimate way to find meaningful action in life, and gain a sense of control that is fully congruent with the greater self, your future self, the person who you are becoming through gaining experience and personal growth the more you truly discern your soul's heart-felt passions and get on with your mission in life. Milieu: Water & Biological Terrain The Five Phases of Health is the model I developed based on the observations of European Biological Medicine and Bioelectronics of Vincent measurements of the biophysical terrain in people while they were progressing into deeper phases of disease, and then while they were reversing and retracing those same steps and moving through the same terrains defined by measurements of the concentrations of the most basic particles of physics that define our health: protons (pH), electrons (rH2 or ORP) and photons (ionization measured by resistivity or impedence). Together, these are the parameters that define biological energy in microwatts according to the Nernst equation in physics. Phase 1 involves cellular detoxification of heavy metals, pesticides, PCBs and any other key neurotoxins blocking intracellular metabolic pathways including aerobic metabolism and epigenetic regulation of the DNA, leading to the ability to stimulate regeneration of the mitochondria for increased cellular energy production and cellular function, such as restoration of visual field areas where cells are not dead but just not functional. This phase is crucial whenever there are viruses, low-grade fevers or any chronic degenerative disease issues. Phase 2 is typically seen as a rapid phase of cellular repair and rejuvenation of metabolic enzyme functions including the anti-oxidant enzyme system. This phase also deals with issues of bacterial dysbiosis, bacterial infection, high fevers and parasites. Phase 3 involves tissue regeneration, as well as clearing the way for this restoration of normal healthy tissue by eliminating any dead tissue and the fungi that feed on that dead matter. Phase 4 connective tissue detoxification as well as immune modulation for reduction of inflammation, allergy and autoimmune responses. Phase 5 deals with balancing of endocrine and life stress factors to reduce cortisol and excitotoxin production. Personal and spiritual growth is central to this process. The specific sequence of phases and the systems, organs and tissues that require healing are unique to each person. The amount of time it takes to clear detoxification issues, whether it is intracellular in Phase 1 or Materia Medica extracellular in Phase 4 depends upon the location and identity of the toxins, as well as the gross quantity of each toxin and the degree of functionality in the relevant elimination systems, as well as how well the remedy support program is tailored to the unique needs of the individual in real time. This is where methods of biocommunication become essential to fine-tune the healing support program in real time, at least on a monthly cycle during intensive health restoration. Accelerated self-healing can be a bit like a roller coaster ride, as the body can go through flu-like detoxification or cleansing reactions, also referred to as healing crises, particularly in Phase 2. Optimum results are obtainable when we can be guided through these retracings and Herxheimer, or die-off reactions gently with a minimum of suppressive medications such as antipyretics, synthetic antibiotics (fungal toxin analogs and sulfa drugs), steroid medications, anti-inflammatory drugs and pain killers. Increased intake of drainage remedies and neuroprotective remedies, temporary reduction or cessation of intake of detoxification remedies, and emphasis on microwater intake, positive healing intention and rest is usually sufficient, along with the knowledge that the symptoms represent a healing crisis, the body's focused, intelligent action to restore health. There are key differences between a healing crisis and a disease crisis that help to distinguish the two. In a healing crisis, elimination systems such as the bowels, urination and sweating are working well or even beyond their usual capacity. This can be further facilitated with enemas or colonics, drinking microwater and taking Far Infrared saunas. Rest and sleep tend to be more than usual in a healing crisis, though discomfort may be a challenge, while they may be very disturbed or absent in a disease crisis. Metabolism will be increased by fever in many healing crises. For example, in over 2000 medically documented cases of spontaneous remission of cancer (a condition that occurs only in Phase 1, like most glaucomatous damage), every case showed Phase 2 indicators including a high fever and a bacterial infection. Bacteria cannot grow in Phase 1 terrain, so it is the body's healing of the conditions that allowed the bacteria to grow, producing enzymes that assisted in lysing (breaking down) the cancerous tumors within a few days in every case. In any case, whether flu-like symptoms represent a worsening of health or a healing reaction, an updated assessment of the body's needs during any health crisis is essential for optimal accelerated self-healing. Once any needed healing crises are past and basic cellular physiology is restored, there is often a need to cycle through multiple phases of tissue cleansing and regeneration, and all phases may need to be repeated as the body gets strong enough to cleanse and repair various damaged organs and systems, especially the eliminative organs that filter the blood, the liver and kidneys, because of the toxic age in which we live. The 38 Glen Swartwout kidneys are particularly challenging because they are wrapped tightly in connective tissue. This means that the kidneys may prefer a moderately slow pace of accelerated self-healing, not a pushy chemical approach with heavy doses of drugs, herbs or even megavitamins. Gentle, soothing but deeply effective therapies like Far Infrared saunas, microwater, Syntonic phototherapy, flower essences and homeopathy are perfect to emphasize. Water & Biological Terrain In almost all cases, chronic degenerative states of health result from Phase 1 conditions in the body. This is also the terrain for viral conditions. Phase 1 terrain is excessively oxidized, resulting in oxidation of circulating LDL cholesterol, which deposits and hardens on the inner lining of the blood vessels, impairing their ability to dilate normally, thus restricting circulation. Local hypoxia or ischemia in the tissues leads to further free radical activity. Lipid peroxidation can be especially destructive, particularly in nerve tissue with its high concentration of fatty acids, which can produce a chain reaction of reactive oxygen species. Phase 1 terrain is also characterized by excessive alkalinity in the veinous blood. This is primarily due to a blocked and inefficient cellular energy metabolism, resulting in lack of acid metabolic wastes such as carbonic acid. Steroids, for example, induce a Phase 1 terrain in the tissues. It has been shown that they alkalize the body fluids, while at the same time depleting antioxidant defenses. Vitamin C levels fall by 50 to 80%. Thus circulation, oxygenation and cellular respiration in addition to antioxidant protection (especially the fat soluble antioxidants) are critical components to provide the physiological system if it is to mount a successful remission from this Phase 1 terrain. As with all medicines, the source, energy, purity, contents, dosage and frequency are all crucial. All water is not the same. Water with anything added, such as tea, coffee, soda, or juice reduces the water's ability to carry nutrients and toxins in the body, as its solvent ability is already in use. Diuretic effects of caffeine and alcohol When caffeine or alcohol among the contents, drinking actually depletes your body's water stores, since these chemicals act as diuretics. Dehydrated cells are thirsty for more fluid to improve their health and function, so you will want to drink more beer or soda, making matters even worse, except for the corporate stock holders. Materia Medica Acid waters Most waters are also oxidizing agents, using up antioxidants and promoting free radical damage of tissues. Tap water is the worst in this category as it typically contains added chlorine. Most waters are acidic, adding to the toxic burden on the kidneys and pushing tissues toward inflammation, which is counterproductive in degenerative disease. Soda is the worst in this aspect, with added carbonation (CO2), a metabolic waste product, which forms carbonic acid, and phosphoric acid, which is even more acidic. Most bottled waters are intentionally acidified to help prevent living organisms from flourishing. Drinking anything over about 4 ounces of any of the conventional types of water, including tap water, bottled water, or RO or other filtered water, at one time. Drinking 4 ounces of good pure water every half hour on the other hand, increases lymph flow and detoxification. After a few days of regularity with a balanced water regimen, the kidneys are able to improve their eliminative function, which is foundational to support healing of many underlying causes of disease. Where acid water does make sense is topically, on the skin. The skin naturally tries to maintain an acid mantle and a layer of oil to inhibit growth of pathogens and maintain the skin's important barrier function. Soaps destroy these purposeful protective mechanisms by alkalizing and removing oils. Acid microwater is a better solvent than other waters for cleansing the skin, and works without disrupting the barrier function. A stronger version made in special units requiring addition of specific minerals to support a stronger ionization, called superoxide water, is used in place of all topical antibiotics in those Japanese hospitals that utilize the technology. This astringent healing water is so potent that it can prevent the need for amputation in cases of gangrene. Microwater Far better is microwater, which has water clusters about half the size of filtered water. This allows microwater to penetrate 10 times better not only into the blood, but into the extracellular fluid, the lymph and the intracellular space where it is actually needed, carrying essential nutrients in, and acids, wastes and toxins out. Because microwater units produce two streams of water, alkaline and acid, alkaline minerals are concentrated in the water used internally for drinking and cooking. This extra alkalinity is helpful to counterbalance the acidity produced by stress, inefficient metabolism in toxic, damaged tissues, and the highly acidifying Standard American Diet (SAD) rich in sugar, refined carbohydrate, grains and heavily cooked commercial meats, as well as pharmaceuticals. Because of the enhanced penetrating effect of 40 Glen Swartwout microwater, it helps digest food, even when taken at mealtime, and does not excessively dilute the blood, so it doesn't strain the kidneys to maintain blood homeostasis. Microwater is also directly antioxidant, as it carries a negative electrical potential, measured in millivolts as rH2 (Hydrogen Potential) or ORP (Oxidation Reduction Potential). This means that this highly penetrating water, made of molecules about 10 times smaller than Vitamin C, which is the smallest of the conventionally considered nutritional antioxidants, and even over 3 times smaller than urea, one of the most potent antioxidants in the body. Even the entire micro-structured water cluster is smaller than TMG, the smallest anti-oxidant in the diet. Hypertension may be significantly related to chronic dehydration. Chronic dehydration, resulting in increased blood viscosity, can be caused by diuretics or simply by the Standard American Diet (SAD), which includes more soda than water. This pattern has is also frequently associated with constipation, which is closely linked to fluid metabolism. After about 3 days of regular consumption of water, the kidneys are able to readapt and increase the efficiency of their filtration of the blood as well. The best water is that which is filtered to remove unwanted chemicals, such as heavy metals, chlorine, fluoride and pesticide residues, and then ionized. Bioelectronics of Vincent (BEV) quality filtration can be achieved by a multi-stage filter system incorporating reverse osmosis with other water purification technologies. Ionization by electrolysis imparts a negative charge, which provides the most effective biocompatible anti-oxidant known. It also restructures the water, reducing the average molecular cluster size from about 16 to about 8 water molecules according to NMR studies, resulting in a 10-fold increase in penetration into the lymphatic system and even the intracellular spaces. This water, a better solvent than tap water, increases nutrient absorption and utilization, while also enhancing elimination of metabolic wastes and other toxins from tissue stores. The alkaline-reduced water that is used for drinking and cooking accelerates the body’s healing process, which initially involves the re-establishment of efficient mitochondrial aerobic metabolism followed by the shift from Phase 1 to Phase 2 terrain. This water releases oxygen specifically to those tissues, which are eliminating toxins, including the toxins, which are released in unblocking mitochondrial electron transport chain enzymes. Osmotic agents like vitamin C, glycerine and salt decrease tissue pressure by pulling fluid from inflamed areas like an acutely swollen appendix. They also increase biological energy (measured in microwatts) in the blood, shifting terrain away from Phase 1, which is the low energy zone in which medically treated chronic degenerative diseases are most prevalent. High body temperature, characteristic of Phase 2 terrain (e.g. associated with bacterial infection, healing crisis and spontaneous remission), is related to a temporary increase in IOP. This can, however, if not suppressed by antibiotics or antipyretics like aspirin, lead to resolution of the internal causes of the problem, Materia Medica followed by remission from the disease. If there is damage to the myelin sheath of the nerve fibers, as in MS, increased body temperature from exercise or a hot bath can temporarily worsen function. When complementary medicine is used early in the natural history of disease, or in later stages to attempt a more intensive approach to reversal and rehabilitation of health and function, the body's direct attempts to heal underlying causes such as allergy and toxicity are almost certain to surface, as supportive vital functions such as more robust circulation and vigorous immune system responses are restored. These are reflected in a Phase 4, Cleansing terrain, characterized by hyper physiological responses, which can be challenging to manage as an inter-current therapy with anyone who is still on a course of standard suppressive medications, such as immunosuppressive steroids like cortisone. This is work that should ideally be taken on by an experienced holistic doctor or a seasoned team with good communication. In the case where effective movement toward resolution of underlying causes is achieved, it is likely that serial oscillations will be required between Phase 4, Cleansing, and Phase 3, Regeneration, as clearing of toxins, immune complexes, stored excess protein and cellular debris makes way for regeneration of functional parenchymal cells. Phase 5, Balancing issues dealing with life stresses and hormonal regulation will typically emerge at later stages of the retracing as earlier, deeper causal factors are unraveled through the well-selected application of complementary medicine modalities and remedies. Thermodynamics of Biological Tissue Fluids: Scientific Foundation of a Unique Product Concept An objective biological energy measurement technique called Bio-Electronics of Vincent (BEV) has long been known in Europe as the medicine of the future. It is at the scientific foundation of Energetically Correct consumer products of the future. Here is a brief introduction to the science of biological energy and its evolution toward longevity with enhanced quality of life. Portions are excerpted from my print book, BioFields: The New Physics of Health. Life energy is electromagnetic energy. It is the stuff of physics. The First Law of Thermodynamics states that energy cannot be created or destroyed, although it can be transformed. Without breaking any of the laws of physics, you can take this biological energy transformation in the direction of health! An objective scientific system of measuring life energy based on the Second Law of Thermodynamics was developed in France by Vincent. It is called BioElectronics of Vincent, or BEV. The total life energy in a 42 Glen Swartwout given body fluid or tissue may be quantified by the Nernst equation simply by knowing the values of two factors. These are the electrical factor or oxidation-reduction potential and the magnetic factor or acidity. A third factor, the dielectrical factor, electrical conductivity or total ion concentration provides additional quantification of the energetic state of biological fluids. Now comes the part for your science majors (the rest of you can skim to the next part written in English). The Nernst Equation The Nernst Equation, based on the Second Law of Thermodynamics, may be written: E = ( R T ÷ 2 F ) log ( 2 H+ ÷ H2 ) or: E = ( R T ÷ 2 F ) ( rH2 - 2 pH ) and at a physiological temperature of 303&Mac251; K (30&Mac251; C): E = 0.03 ( rH2 - 2 pH ) where: E = Biological Energy potential relative to a hydrogen electrode as reference R = the universal gas constant T = the absolute temperature in degrees Kelvin F = the amount of charge per monovalent ion-gram = 96,500 coulombs H+ = hydrogen positive ion concentration, mostly in the hydrated form of hydronium (H3O+) in aqueous media H2 = concentration of molecular hydrogen which is composed of 2 electrons and 2 protons. This can be written as the reversible oxidation-reduction reaction: H2 = 2 ( H+ ) + 2 ( e- ), where e- indicates an electron. Materia Medica rH2 = the electron potential or Hydrogen potential = the logarithm of the H2 concentration. This is the electrical factor. pH = the proton potential or acidity = the logarithm of the H+ concentration. This is the magnetic factor. The simplest way to comprehend the meanings of these fundamental parameters of the body’s energetic milieu is to graph the electrical and magnetic factors, as in a BEV Life Terrain chart. The Health Connection A BEV Disease Terrains chart shows several representative health conditions plotted within the electromagnetic milieu outlined in the prior BEV Life Terrain chart. Vincent, who developed this understanding, was charged with studying the safety of the drinking waters of France. His epidemiological studies showed clusters of different diseases in communities with different sources of drinking water. When he measured the fundamental energetic, or electromagnetic, parameters of the waters, he discovered them to be highly correlated with the specific diseases endemic to the various communities. Not only do the different types of aqueous terrains support very different flora and carry different minerals, but, also the human body is largely composed of this water, and so it develops the same supportive terrain to host the same pathological agents as the drinking water. Essentially, the precondition necessary for the initiation of disease is that the electromagnetic terrain of the target tissue is a suitable medium for the specific microorganism or metabolic dysfunction to become dominant. It has long been noted that different diseases are often mutually exclusive within the same tissue at the same time. Thus an individual with a chronic condition, such as cancer, may not get colds and flues, despite frequent exposure. Also, an acute condition, when contracted, may temporarily be accompanied by relief of some chronic disease symptoms. Understanding Symptoms as Our Efforts to Regain Balance In order to fully understand this phenomenon, it is necessary first to be aware of the factor of predisposition by way of the electromagnetic terrain. Yet, this alone could allow for more than one disease to produces symptoms simultaneously within the same tissue. 44 Glen Swartwout The second critical understanding is to perceive the disease symptoms as the result of the body’s homeostatic responses to the highest priority imbalance in the physiology of the tissue. It is this prioritization and consequent martialing of response to the most critical insult at the moment, which leads to the ultimate exclusivity of symptomatology. It is also this same functional prioritization, which can be assessed through a variety of related systems of functional medicine, in order to discover the best support systems for the individual healing process in the immediate context. These same methods have been extended into the area of product research and development. A Track Record of Outstanding Achievement Decades of application of the BEV concept in European Biological Medicine have revealed the patterns of individual evolution toward health or disease. These patterns vary in the details of etiology and timing, but are remarkably constant in their general pattern of ascent toward vitality and health, or descent into degeneration and disease. The Problem: Progressive Deterioration of Our Health Starting from Ideal Health at the center of the BEV chart, the pattern of progressive deterioration follows the individual through each quadrant in turn, first the lower left, then to the upper left. Then rapidly failing through the lower right, moving into the upper right quadrant, or “low energy quadrant” last. In this last quadrant the individual becomes susceptible to viral and DNA-related conditions that plague our century, like Chronic Fatigue Syndrome, AIDS, Herpes, and Cancer. What are the five phases? The five phases represent the five possible biophysical terrains in the living human organism. These will be described in detail in the next section. Essentially, these are the five steps on the continuum between ideal health and degenerative disease. One of these steps applies to each of us at any given point in time, but this is also a dynamic system, so we can move to a different step depending upon how we treat ourselves. Each step can bring us closer to longevity or closer to degeneration. Materia Medica The Energetically Correct Solution Phase 1: Energize Reversing this process, the individual who has already slid all the way into the low energy quadrant is first energized at the cellular level. This is accomplished in a short time, averaging one month for each year they have experience low energy. Phase 2: Rejuvenate (Repair) This shifts the biochemical terrain into the lower right quadrant where they can rejuvenate their cellular machinery, the enzymes which perform the work of organelles such as the mitochondria. This is typically a rapid phase of rejuvenation, lasting just a month or two. Phase 3: Regenerate (Rebuild) Next comes a longer phase of cell and tissue regeneration, which often focuses on organs like the liver, kidneys, the colon, and even the skin, which are deeply involved in the body’s elimination processes. This period ranges from a few months up to a couple years, even with the best possible support, because the process of replacing old, intoxicated, and worn out cells takes time. Also, because toxicity levels are most concentrated around the tissues of the eliminative organs, these areas have the least opportunity to fully focus on regeneration. Phase 4: Cleanse Moving through the fourth phase, in the lower left quadrant of the BEV chart, on the way to ideal health, the focus shifts to cleansing of all tissues, especially the connective tissue that surrounds each cell. Because the connective tissue lies between every cell and its source of nutrients, this is an important phase in achieving optimal cellular vitality. Phase 5: Balance Once balance is achieved, especially in our modern world full of stress, air and water-borne chemicals, depleted soils, and processed foods, maintaining balance is an ongoing dynamic process. The educated consumer of Energetically Correct products will be alert to the need to temporarily utilize each of the 46 Glen Swartwout product formulations under specific conditions, as well as faithfully use the general maintainence products of phase 5 which contain adaptogens and essential nutrients. We Believe in a Bright Future It is these broad patterns, which apply to every individual in their unique energy status at this moment in their life. These patterns are largely reversible in the general population through a variety of natural energy support modalities, including specifically targeted nutritional supplementation, herbs, homeopathy and other catalytic ingredients. The Energetically Correct approach is unique in formulating products to meet consumer needs using catalyst complexes designed to scientifically reverse the degenerative processes so often accompanying aging, and actually speed the recovery of youthful energy. In a time of aging demographics, this positions Energetically Correct products and services to enhance the quality and quantity of life for tens of millions of Americans, and even more individuals worldwide. Diet, Food Sensitivities and Allergies Commercial farming practices have depleted over 90% of the mineral content of America's farm land, the worst record in the world. The Bear study found a difference of 2000% in the nutritional levels of different vegetables based on how they were grown, shipped and stored. America is the most overfed and undernourished population in history. After 3 generations of eating only denatured food, cats were deformed and could not reproduce. Americans eat so many chemical preservatives in their food that their bodies no longer return to soil when they die. Emphasize local, organic, fresh, raw, ripe produce in season versus depleted, chemicalized, sprayed, irradiated, processed, packaged, GMO, shipped, and stored, stale, rancid and oxidized (cooked in air) foods. Emphasize variety and rotation of high quality foods, as well as balance and simplicity in meals, taking time to chew and savor your foods. The top chronic and delayed food allergies and sensitivities are best avoided or at least minimized by rotation: Sugar (Americans eat about 200 pounds of refined sugar a year) Wheat (since the dust bowl, most wheat is one strain that is lower in protein and more allergenic) Corn (most corn is now GMO) Soy (except natto, miso, tempeh, Phosphatidyl Choline, Phosphatidyl Serine) Cow dairy (except colostrum, whey, butter) Citrus (especially orange juice; grapefruit seed extract is O.K.) Yeast (we are exposed to brewer's yeast and baker's yeast in a wide range of commercial foods) Materia Medica Target Diet A good way to start improving your diet is what I call the Target Diet, as presented on page 12 in my book Natural Eye Care: An Encyclopedia, written with my colleague Dr. Marc Grossman, O.D., L.Ac. In the Phase 1 quadrant of energy regulation are the fats and oils, the most concentrated form of energy in the diet. Allowed foods include extra-virgin cold-pressed olive, flax, primrose, borage, fish, grape seed and 50 Glen Swartwout rice bran oils, preferrably unfiltered to include any phytosterols from the source. The oil foods to keep to a minimum include any acid forming foods, 'health food' snacks, heated oils (being sure to stir in garlic or onion before heating to prevent oxidation), and foods cooked with coconut oil. The foods to really avoid as much as possible are refined and processed foods including hydrogenated oils, margarine, vegetable oils, rancid oils, fried foods, french fries, snack foods, junk food, chips and fast food. In the Phase 2 quadrant of maintenance and repair are the protein sources. Allowed foods include oiled free range fertile effs, baked or broiled cold water white fish including cod, flounder, haddock, halibut, herring, mackerel, Pacific salmon, perch, pollock, rockfish, sardine, scrod and sole. The foods at allowable at low frequencies and quantities are commercial eggs, free-range organic meat and poultry, shellfish, raw milk yogurt and raw milk cheese. In the Phase 3 quadrant of regeneration are the carbohydrates. Allowed sources are brown rice, millet, buckwheat, and lightly steamed organic vegetables. Sources to minimize are whole wheat and other grains, alcohol, non-organic sweet fruits, bananas, papayas, dried dates, figs, fructose (e.g. Agave syrup), and lightly steamed non-organic vegetables. The Phase 4 quadrant of tissue cleansing includes the water and electrolyte sources as well as diuretics. Allowed sources are whey protein, filtered water and goat dairy. Foods to minimize are Bragg's or grey sea salt, herb teas, fermented foods, and fruit juice diluted to 20% with water. Foods to avoid are table salt, preservatives, nitrates, sulfites, artificial colors, flavors and sweeteners, MSG, tap water, juice drinks, soda, alcohol, coffee, tea, and decaf. In the Phase 5 center of the target diet, the emphasis is on whole ripe raw organic fresh local alkalineforming foods, sprouts and juices. Eat more like your ancestors did during the bulk of your genetic history, the millions of years your genes developed adaptive capacities for a life of hunting, gathering, feasting and fasting, a life of communing with nature, spirit and each other. Others call this the Paleo diet, the way humans lived prior to the advent of agriculture about 10,000 years ago. The invention of agriculture, emphasizing grains which were mere survival foods, I believe was mothered by necessity due to global ecological change following the retreat of the last ice age and the global flood, leaving much of the earth's terrain covered in sediments which were then colonized by early species such as the grain grasses before other food species could thrive. The cultures then developed according to the consciousness of the grain they served... corn, wheat, rice... And as the spirit minerals in those soils have become depleted along with the biological nutrient minerals, the souls of those cultures languishes... crying out in thirst, like Christ Materia Medica facing the cross, thirsting for the life of the spirit, the water of life that forever quenches that deepest of needs. 52 Neuroprotection Nerve damage occurs by specific chemical pathways. While there are probably thousands of different triggers, including many different neurotoxins, like pesticides and heavy metals, they all have some things in common that makes it easier to deal with when it comes to prevention and healing. Causal pathways converge on key deficiency states like oxidation (electron deficiency), which is contributed to by hypoxia (oxygen deficiency), which is exacerbated by acidity (alkaline macromineral deficiency). The alkaline minerals are used up over time to buffer the acid effects of environmental toxins, pharmaceuticals, endotoxins produced in the gut, and excitotoxins resulting from stress and the modern diet. In an acid state, oxygen becomes bound and unavailable. That is why fish die from acid rain. Our cells are like the fish, their lake is the extracellular fluid, and modern life supplies the acidity in all the forms just listed. Without oxygen, the nerve cells lose 95% of their energy. They may be alive, but they can no longer function. Cross-linking of collagen restricts perfusion of local capillary beds. This causes ischemia (circulation deficiency), which feeds both the oxygen deficiency (hypoxia) and acidity (buffer deficiency), since inefficient (anaerobic) metabolism leaves a residual sludge of lactic acid that builds up in the cells and causes them to swell. The swelling of acidic tissue further contributes to ischemia. At this point the cause and effect can go round and round, resulting in a chronic state of ill health in the affected nerve cells. This intracellular swelling and inflammation (extracellular swelling) also associated with an increase in acidity (excess protons is another way to describe this state) ties up not only the oxygen now needed more than ever to finish burning up the waste lactic acid into carbon dioxide (gas) and water, but ties up more and more water, both in the lactic acid itself, and by binding water osmotically, to keep the acid wastes from being too concentrated, toxic and irritating. This is a state of dehydration, which makes it harder for the needed water and alkaline minerals and oxygen to penetrate into the area. The dehydration also contributes to further connective tissue damage with deposition of dehydrated sheets of proteins called amyloid associated with neurodegenerative conditions. Materia Medica Typically the difference between various diseases is not so much in the nature of the pathophysiology, but primarily in the location of the process. The typical culprits, almost always involved in some way in each human being's natural history of attempted self-healing includes fundamental and common insults like psychoemotional stress, environmental toxicity, endotoxicity, acidity, trauma, allergy, and inflammation. Here we will focus on some major final common pathways of tissue damage that all of those intermediate causes trigger. We ultimately need to address the original and intermediate causes whenever possible to eliminate the tendency toward damage and degeneration by accelerating the body's completion of healing processes related to past insults. While those causes or at least residues are being identified and eliminated over time, according to the body's sequence of healing which is typically in the reverse order in which they were accumulated (retracing), we need to consider how to mitigate the tissue damage at its simpler common endpoints of oxidation (electron deficiency), glycation (sugar deposition) and other toxic deposition. Connective tissue damage and shrinkage due to crosslinking (dehydration and micro-scarring by disulfide (sulfur to sulfur) bridges between proteins. In amyloid protein deposits, which are strongly associated with glaucoma and other neurodegenerative disease processes, two layers of beta-sheet protein deposits interdigitate to create compact dehydrated interface termed as steric-zipper interface. Neurotoxins Neurotoxins include excitotoxins, heavy metals, pesticides, PCBs and other environmental toxins, as well as endotoxins produced in the body, such as methyl mercury and mercuric chloride made 1000 times more toxic (to create a zone of immunosuppression) by dysbiotic bacteria and fungi from metallic mercury, and indol and scatol made by putrefaction of undigested proteins by dysbiotic gut flora. The full solution for healing these underlying causes of glaucoma involves both neuroprotection and removal of the toxins that damage the nerve cells. Neuroprotection is offered by increasing levels of antioxidants, anti-glycation agents and other remedies that help with the five phases of healing. See section on Biological Terrain for more context on the five phases. Excitotoxicity Excess of excitatory neurotransmitters Glutamate (as contained in Mono Sodium Glutamate) and NMethyl-D-aspartate (NMDA), an amino acid derivative, which acts as a specific agonist at the NMDA receptor appear to contribute to nerve cell death. Intracellular deposits of mishandled Calcium are a typical effect of this excitotoxicity. 54 Glen Swartwout Avoiding Aspartame, as well as MSG, including all of its hidden dietary forms, is a good initial step in reducing this risk factor. Aspartame Aspartame is a dipeptide made of Aspartic acid and Phenylalanine. In the presence of moisture, it breaks down at room temperature to produce methanol, also know as wood alcohol, which is famous for causing blindness. More symptom complaints are reported to the FDA from Aspartame than any other regulated chemical today. MSG Mono Sodium Glutamate (MSG) was originally discovered in seaweeds that can carry a very high content, so watch the oriental snacks like o-senbei, arare and seaweeds if you want to heal your nervous system. MSG is also frequently masked on product labels under a variety of names. These ingredients always contain the amino acid Glutamate or Glutamic Acid: Glutamic acid (European food additive identifier: E 620), Glutamate (E 620), Monosodium glutamate (E 621) or Natrium glutamate Monopotassium glutamate (E 622) Calcium glutamate (E 623) Monoammonium glutamate (E 624) Magnesium glutamate (E 625) Anything “hydrolyzed”, any “hydrolyzed protein” (except hydrolyzed rice or whey proteins for supporting protein sparing fasting as part of a meal substitute plan) Calcium caseinate, Sodium caseinate Yeast food, yeast nutrient, yeast extract, autolyzed yeast Ajinomoto, Ac'cent, Vetsin (trade names for MSG) Gelatin Textured protein, or any “…protein” Soy protein, soy protein concentrate, soy protein isolate Whey protein, whey protein concentrate, whey protein isolate Materia Medica MSG is often also found or produced by these food ingredients: Carrageenan (E 407) Bouillon and broth Stock Any “flavors” or “flavoring” Maltodextrin Citric acid, Citrate (E 330) Anything “ultra-pasteurized” Barley malt Pectin (E 440) Anything “enzyme modified” or containing “enzymes” or protease Malt extract Soy sauce or soy sauce extract Anything “protein fortified” Anything “fermented” Seasonings The following foods can also trigger excitotoxin (MSG) reactions in sensitive people, and are thus best avoided by those with neurological or circulatory issues: Corn starch Corn syrup Modified food starch Lipolyzed butter fat Dextrose Rice syrup and brown rice syrup Milk powder Reduced fat milk including skim milk, 1% milk and 2% milk Low fat and fat-free foods Enriched and vitamin enriched foods This doesn't mean you can't or shouldn't eat any protein, because everyone needs protein, but you do want to minimize the total amount of glutamine in your diet, so emphasize high quality, digestible or pre-digested protein, and skip the rest. 56 Glen Swartwout Excess & Indigestible Protein The thing to realize and change is that the Standard American Diet contains about four times too much protein. Excess protein becomes indigestible by exceeding our enzymatic digestive capacity. Poorly and partially digested protein may still be absorbed as larger particles and congest the lymphatic system, contributing to congestion of lymphatic drainage especially in the head and neck area, as well as deposition of excess protein in the connective tissue of the extracellular spaces, on top of contributing to the excitotoxin deposition within the nerve cells. Dehydrated Denatured Protein One reason that a lot of protein we eat is not digestible is if it is cooked beyond rare in air, such as fried or baked, as this dehydrates the proteins, reducing the space available for enzymes to access the nitrogen bonds for hydrolysis in the digestive process. Think about how meat gets tougher as it is cooked to medium and well done, versus how stewed meats get more tender with cooking. Meat tenderizers can be helpful as they actually use proteolytic enzymes to tenderize, or partially pre-digest the proteins. Excessively Large Protein Molecules Another factor that adds to the protein problem is ingestion of excessively large protein molecules from soy, as well as gluten in wheat, and casein in cow milk and cow cheese. All three of these foods are among the top 7 food allergens, and this is one of the main reasons. Putrefied Protein Toxins Undigested protein provides food for pathogenic putrefactive bacteria in the gut, forming highly toxic amino acids that stress the kidneys and nerve cells that are energetically governed by the kidneys and the water element in the Oriental Medicine perspective. In the small intestine, the main toxin produced by this bacterial dysbiosis is indol, while in the large intestine it is scatol, also known as cadaverine because it is the putrid toxin that makes dead bodies smell so bad. So, if it stinks coming out, it wasn't properly digested, and has become a toxic load adding to the nerve cell's issues. If the stool smells like something died, that is scatol. There is a simple in-office Indican test available to screen the urine for indole. Aside from cutting excess and indigestible protein from the diet, supplementing beneficial flora, digestive enzymes, herbal bitters that stimulate digestion, and a homeopathic digestive stimulant like my Digestzymes formula (from which I receive no royalty) are all worthy ideas to consider. Materia Medica Microwaved Protein A new addition to the protein problem is the use of microwaves in cooking, which break nitrogen bonds in the cooked proteins, making them indigestible to our proteolytic enzymes even if they are smaller or taken in appropriate quantities. When research subjects were fed only microwaved food, their live blood cells became indistinguishable from those of cancer patients (Phase 1, low energy terrain, where most degenerative nerve damage also occurs) within just 2 weeks. 58 Free Electrons & Antioxidants Oxidation is one of the key mechanisms by which our cells become damaged, whether by trauma, toxicity, aging, or the effects of disease processes in glaucoma. Oxidation means the loss of an electron. Oxidation is how fire burns wood into ash. Oxidation is promoted by free radicals, which are typically the result of high-energy electrons escaping the electron transport chain due to deficiency of cofactors like B Vitamins, Coenzyme Q10, or Oxygen, the ultimate receiver of spent electrons, in the mitochondria. The reactive compounds, often in the form of reactive oxygen species (ROS), carrying those electrons are looking to steal another electron to become stable. They are like a short circuit in the wiring of the cell's electrical system looking for a ground. And like a short circuit anywhere, they can do a lot of mischief, or even burn down the house. Anti-oxidants are our first line of defense against these ROS, since anti-oxidants by definition are electron donors. Let's take a tour of the many antioxidants, from the smallest, the humble electron itself, to the largest, our anti-oxidant enzymes: Electrons (chemical symbol e-) have a molecular weight of zero (0) daltons. The top source is the earth, when the body is grounded to it. The second most abundant potential source is the air when we are around moving water and plants or a negative ion generator. Third is our drinking water when it is a pure mountain stream cascading over rocks in a pristine environment, or in today's real world, microwater. Fourth is our diet when it is obtained fresh from living plants and animals. Water Molecules (chemical formula: H2 O) have a molecular weight of 18 daltons. Most water is depleted in electrons by adding chlorine, processing and running through metal pipes, making it an oxidizing agent, promoting further free radical damage in glaucoma. Urea (C1 H4 N2 O1) has a molecular weight of 60. Urea is the source of about half of the antioxidant capacity in the blood. It is produced in the body from the breakdown of proteins. Restructured Microwater Clusters ((H2 O)5 to 6) have a typical molecular weight in the range of 90 to 108 for the cluster. Alkaline microwater is enriched in electrons enough to become a reducing agent Materia Medica (antioxidant), delivering free electrons directly into every cell including the optic nerve fibers at the lamina cribrosa to help protect against vision loss associated with glaucoma. Betaine or Trimethylglycine, usually referred to as TMG (C5 H12 N1 O2) has a molecular weight of 117. TMG is obtained from beets, but for healing purposes, a pure extract allows a therapeutic dose typically up to 3,000 mg a day, and avoids building up excessive iron levels, which would reduce longevity. Pure TMG powder is available from Jarrow. Taurine (C2 H7 NO3 S) has a molecular weight of 125. Taurine is an amino acid that is especially helpful to the retina and heart as an antioxidant. Supplementation is suggested in the form of Magnesium Taurate, available from Cardiovascular Research. Oxalic Acid (C2 H2 O4) has a molecular weight of 126 in its hydrated (dihydrate) form. Oxalic acid is found in spinach, taro and rhubarb. We cook these foods to dissolve and remove the oxalic acid. This helps us avoid tissue irritation and deposition of oxalate crystals and stones in the body, and associated problems, which include arthritis. Boil or steam vegetables with oxalic acid content, and discard the water. Salicylic Acid (C7 H6 O3) has a molecular weight of 138 (can be obtained in biocompatible complex with bioflavonoids to strengthen blood vessels from willow bark rather than synthetic form in aspirin) Cinnamic Acid (C9 H8 O2) has a molecular weight of 148. It is found in cinnamon. Yum. Cinnamon helps stabilize blood sugar regulation. Enjoy it. N-Acetyl Cysteine, abbreviated NAC (C5 H9 NO3 S) has a molecular weight of 163. NAC is a powerful mucolytic, detoxifier and lymphatic drainage remedy. It is a precursor of Glutathione, and supplementation of NAC is the preferred way of raising levels of Glutathione and the crucially important antioxidant enzyme Glutathione Peroxidase (GSH-Px). Eugenol (C10 H12 O2) has a molecular weight of 164. Eugenol is found in clove, nutmeg, cinnamon, basil, and bay leaf. Gallic Acid (C7 H6 O5) has a molecular weight of 170. It is in blackberry, raspberry, walnut, and the medicinal botanicals Boswellia (anti-inflammatory), Triphala (cleansing) and Rhodiola (aerobic metabolism support). Vitamin C in its ascorbate form (C6 H7 O6) has a molecular weight of 175. 60 Glen Swartwout Citric Acid (C6 H8 O7) has a molecular weight of 192. It is in citrus fruits, especially lemons and limes. Ferulic Acid (C10 H10 O4) has a molecular weight of 194. Rice bran oil as well as flax and rye are good dietary sources. Xanthones (C13 H8 O2) have a molecular weight of 196. They are in mangosteen, the queen of fruits. Alpha Lipoic Acid (C8 H14 O2 S2) has a molecular weight of 206. Alpha Lipoic Acid is both fat and water soluble, allowing it to access all intracellular compartments. It is an important recycler of other antioxidants. Resveratrol (C14 H12 O3) has a molecular weight of 228. It comes from the skins of dark grapes. Melatonin (C13 H16 N2 O2) has a molecular weight of 232. This hormone is also one of the body's strongest anti-oxidants. It is secreted at night by the pineal gland, which is sensitive to light and electromagnetic fields, so keep electronic devices and wires away from your bed and use a red nightlight or red flashlight if you get up in the middle of the night. Turning on a white light even for a second can stop the pineal from releasing Melatonin for hours or even the rest of the night. Coral Water Cluster ((H2 O)13 to 15) has a molecular cluster weight of 234-270. Japan has the highest longevity in the world, and Okinawa, where the ground water is naturally filtered through coral, leads the way. Areas with more alkaline water have lower rates of cardiovascular disease (associated with glaucoma) and cancer. Daidzein (C15 H10 O4) has a molecular weight of 254. Good food sources are kudzu and fermented soy foods like natto, miso and tempeh. Other soy products are better avoided because, like wheat and cow dairy, they contain extremely large protein molecules (gluten in wheat, and casein in cow milk and cow cheese) that are very difficult to digest, and often congest the lymphatic system in the head downstream from the eyes, reducing outflow facility from the eye and thus exacerbating glaucoma. Pterostilbene (C16 H16 O3) has a molecular weight of 256. It can be enjoyed in blueberries and grapes. N-Acetyl Carnosine (C11 H16 O4) has a molecular weight of 268 for the Acetyl Carnosine group. It is the most effective way to deliver Carnosine into the eye in eyedrop form, and can also be taken orally for enhanced Carnosine absorption. Carnosine is an important antioxidant dipeptide made of two amino acids, Alanine and Histidine. It is found in brain, muscle and other animal tissues, and because it is only in animals, vegetarians tend to be particularly deficient. Besides scavenging free radicals, Carnosine and N- Materia Medica Acetyl Carnosine also help prevent aging due to formation of Advanced Glycation Endproducts caused by fluctuating sugar levels. It can help in glaucoma by improving microcirculation in the eye. Genistein (C15 H10 O5) has a molecular weight of 270. It is found in lupins, fava beans, kudzu and fermented soy foods are also suggested sources. Apigenin (C15 H10 O5) has a molecular weight of 270. It is found in many fruits and vegetables, with celery, parsley and dandelion coffee substitute being excellent sources. Luteolin (C15 H10 O6) has a molecular weight of 286. Luteolin is in found in green leafy vegetables, as well as celery, green pepper, thyme, chamomile tea, carrots, olive oil, peppermint, rosemary, navel oranges, and oregano. Cyanidin (C15 H11 O6) has a molecular weight of 287. It is a common red pigment found in grapes, bilberry, blackberry, blueberry, cherry, cranberry, elderberry, hawthorn, acai berry, raspberry, apple, plum, red cabbage and red onion. Catechin and Epicatechin (C15 H14 O6) both have molecular weights of 290. Recommended sources are acai and peach. Cacao is not recommended due to destabilization of blood sugar, which stresses nerve tissue in glaucoma. Sorry, that means enjoy chocolate treats less often! Vitamin A: Retinoic Acid form (C20 H28 O2) has a molecular weight of 300. Ellagic Acid (C14 H6 O8) has a molecular weight of 302. You get it in raspberries and strawberries, but make sure they are organic, especially the strawberries as they retain pesticides particularly well. Pesticides are neurotoxins, developed from wartime nerve gas technologies, so this would be a bad combination with already stressed retinal cells in glaucoma. Capsaicin (C18 H27 NO3) has a molecular weight of 305. It is the heat in chili peppers. Gallocatechin, Epigallocatechin (C15 H14 O7) has a molecular weight of 306. Water process decaffeinated extracts of green tea bioflavonoids are suggested rather than higher caffeine containing forms, due to destabilization of blood sugar by caffeine, and the detrimental effect of both hyper and hypoglycemic phases on central nervous system tissue such as the optic nerve fibers in glaucoma. Other sources are banana, persimmon, pomegranate and St. John's wort. 62 Glen Swartwout Glutathione (C10 H17 O6 N3 S1) has a molecular weight of 307. Supplementing NAC is the suggested way to increase the body's production of this crucial antioxidant. Quercetin (C15 H10 O7) has a molecular weight of 338. Onions, citrus, apples and parsley are suggested food sources. Quercitin prevents release of histamine and other inflammatory substances, helps resolve allergic symptoms in both the respiratory and digestive tract, and provides effective protection against a wide range of damaging free radicals. Rosmarinic Acid (C18 H16 O8) has a molecular weight of 360. High levels are available in rosemary, oregano, lemon balm, sage, and marjoram. Curcumin (C21 H20 O6) has a molecular weight of 368. It is in turmeric. Vitamin E: Tocopherol form (C29 H50 O2) has a molecular weight of 431. Unique E is the only undiluted, unaltered whole complex vitamin E supplement. Silymarin (C25 H22 O10) has a molecular weight of 482. It protects the liver in dealing with elimination of toxins. It comes from the botanical medicine milk thistle. Beta Carotene (C40 H56) has a molecular weight of 536. Fresh carrot juice is an excellent source that has a long history of effective use in healing many chronic degenerative diseases. Lycopene (C40 H56) has a molecular weight of 537. Fresh vine ripened tomatoes are the best source, with some also found in watermelon and guava. Theaflavin (C29 H24 O12) has a molecular weight of 564. It is produced by fermentation of green tea into black tea, and also from green tea bioflavonoids as they are processed in the liver. Skip the black tea, and go straight for the bioflavonoids from green tea, minus the caffeine. Canthaxanthin (C40 H52 O2) has a molecular weight of 565. It is found in mushrooms, algae, crustaceans and fish. Lutein (C40 H56 O2) has a molecular weight of 569. Lutein is in spinach, kale, Swiss chard, collard greens, beet greens, mustard greens, endive, red pepper and okra) Zeaxanthin (C40 H56 O2) has a molecular weight of 569. Recommended dietary sources are kale, collard greens, spinach, turnip greens, Swiss chard, mustard greens, beet greens and broccoli. Materia Medica Naringin (C27 H32 O14) has a molecular weight of 581. Naringin is in grapefruit and one of my favorite fruits: it's larger and sweeter relative, pomelo. Bilirubin (C33 H36 N4 O6) has a molecular weight of 584. Bilirubin is in the blood from the breakdown of hemoglobin. Astaxanthin (C40 H52 O4) has a molecular weight of 597. Recommended dietary sources are Pacific or Alaskan salmon. The Atlantic fish are too toxic due to industrial pollution. Supplementation is with BioAstin extracted from red algae grown in Hawaii by Nutrex. Hesperiden (C28 H34 O15) has a molecular weight of 611. It is found in citrus, and supplementation is suggested as Hesperiden Methyl Chalcone (HMC) for stabilizing mast cells involved in allergic processes related to glaucoma. Rutin (C27 H30 O16) has a molecular weight of 611. Good dietary sources are buckwheat, asparagus, citrus rinds, mulberries, and cranberries. Phytic Acid aka Inositol Hexaphosphate or IP6 (C6 H18 O24 P6) has a molecular weight of 660. IP6 is found in seeds and the bran of grains. It chelates minerals making them less bio-available, so soaking and sprouting are recommended to avoid this effect. Co-Q10 or Ubiquinone-10 (formula C59 H90 O4) has a molecular weight of 863. Coenzyme Q10 is synthesized in the body and used in the mitochondria in making cellular energy, especially in tissue with high metabolism; the retina has the highest metabolism of any tissue in the body; the body's production of CoQ10 is impaired by many beta blockers used to treat glaucoma, as well as blood pressure drugs, and statins for lowering cholesterol, which reduce blood levels as much as 40%; supplementation helps support aerobic cellular metabolism which supplies 95% of the cell's energy needed to maintain visual function and reduce oxidative damage from free radicals) The various Proanthocyanidin polymers have molecular weights ranging from 1600 to 5500. Superoxide Dismutase (SOD dimer) is a crucial antioxidant enzyme with a molecular weight of 32,000. Glutathione Peroxidase (GSH-Px) is another crucial antioxidant enzyme with a higher molecular weight of 95,000. 64 Glen Swartwout Catalase (CAT) is a third crucial antioxidant enzyme with an even higher molecular weight of 240,000. The beauty of enzymes is that they can be used over and over again, since they are catalysts that promote quenching of free radicals without getting oxidized in the process, unlike the other antioxidants. Reverse AGEing: Antiglycation Sugars taste sweet not only because they provide readily accessible energy for our aerobic metabolism, but also because they signal the ripeness or fullness of life chemistry and spirit in many plant foods. When sugar content is high, so is the content of vitamins and minerals, especially the spirit minerals that have a similar spatial energetic resonance, tasting sweet by themselves. Sugars are carriers of the spirit minerals, containing ring structures composed of six members, with one being oxygen, and all the others being carbon. When sugars are processed, they are stripped of associated nutrients including vitamins and minerals, especially the sensitive spirit minerals. When these stripped, nutrient depleting sugars are ingested, the body and spirit continue to crave the full nutrition they are associated with in the whole food source. This produces an addictive response to refined sugars that contributes to overeating and undernourishment in industrialized cultures. As with entheogens, being even more profound transporters of spiritual substance, refinement and processing by harsh chemicals and metallic machinery energized by dysharmonic electromagnetic frequencies such as 50 and 60 Hz alternating current produces what I call a weaponized end product. Instead of feeding the body and soul, it robs the life essences from both. Excess, weaponized sugars deposit onto the body's own chemistry in a process called AGE. This glycation (sugar deposition) affects both extracellular and intracellular compartments. Glycation can cause amyloid plaque protein deposits, which are classically extracellular, but can also be intracellular. Glycation can also cause aggregation of proteins via cross-linking. Advanced Glycation Endproducts (AGE) produced by non-enzymatic glycosylation cause cross-linking of collagen and elastin in the connective tissue in which all cells live. Cross-linking shrinks connective tissue, making us shorter as we age, and increasing the strain on sensitive nerve fibers and their delicate circulation. AGEs are formed in the body when sugar levels are not stable. They also come in the diet, when we eat cooked carbohydrates. Eating more raw, organic, unprocessed foods is a great start for reducing AGE-ing, along with avoiding things that destabilize sugar regulation, including sugar, refined carbohydrates, alcohol, caffeine, chocolate and stimulants in general. There are also a few nutritional compounds known to protect against AGE formation: Materia Medica Minerals Vanadium, Chromium and Zinc are involved with sugar regulation and help protect against AGE formation. Probiotics have been shown to have anti-glycation effects. Probiotics help to produce B vitamins in the gut. Thiamine (Vitamin B1) reduces AGE generation. High fiber diets tend to supply more thiamine, while thiamine reserves are depleted by alcohol. Garlic and onions supply fat-soluble forms of thiamine (allithiamines) such as benfotiamine, which is more physiologically active than thiamine. Benfotiamine stimulates transketolase, an enzyme essential for normal glucose metabolism, promoting endothelial cell health in the kidney and retina. Benfotiamine helps decrease inflammation and even repair damage that has already taken place to the nerve cells. Benfotiamine supplements are available from Complementary Prescriptions and Source Naturals, with a suggested dosage of 150 mg once or twice a day. Vitamin B12 helps protect against AGE formation. The recommended form is Methyl Cobalamin, which can help reverse any neurological damage. Vitamin C helps protect against AGE formation. The recommended form is Magnesium Ascorbate. When this form is absorbed by your cells, the Magnesium is drawn in with the Vitamin C. Magnesium is beneficial inside the cell, while Calcium is not. Vitamin E helps protect against AGE formation. The recommended form is Unique E, the only pure, unadulterated Vitamin E complex supplement on the market since 1963 available only through nutritional physicians (made by AC Grace). Unique E is much more therapeutic than other forms of Vitamin E. It can be safely taken at higher dosages, although it is always recommended to taper up Vitamin E dosages gradually so that blood pressure is not destabilized. Unique, unlike other fat-soluble vitamin E products, is stable against oxidation at room temperature. This means it will be more stable at body temperature, too! Other companies dilute their Vitamin E in soy oil. The active co-enzyme form of Vitamin B6, Pyridoxal 5' Phosphate (P5P) reduces AGE formation, and is widely available as a supplement from many manufacturers. Pyridoxamine, a relative of Vitamin B6, also reduces AGE formation, especially fat derived AGEs, though not as well as P5P. Pyridoxamine reduces AGE levels, preventing complications of aging and diabetes as documented in animal studies. It is found in carrots, walnuts, fish and chicken, and used to be available over the counter as a vitamin supplement, but the FDA has forced it off the market so it can potentially be regulated as a more expensive drug in the future. 68 Glen Swartwout The currently available prescription anti-diabetic medication Metformin (Glucophage) does reduce AGE formation. The investigative new drugs Pimagedine (aminoguanidine) and Alagebrium were also being tested for anti-glycation effects but are not on the market. Bioflavonoids are also called Vitamin P. Resveratrol from the skin of red grapes as well as cranberries and blueberries, has protective anti-glycation effects. Other bioflavonoids in cinnamon, clove, yerba mate and green tea reportedly have anti-glycation effects. Cinnamon and clove both improve blood sugar regulation, so enjoy! Yerba mate and green tea have beneficial bioflavonoids that could be useful as exracts, but avoidance of the stimulant effects of the drinking tea made from the whole herb is recommended. Caffeine free extracts of Camelia sinensis (green tea) containing the beneficial bioflavonoids called catechins and epigallocatechin gallates (EGCG) are available and are recommended. N-Acetyl Carnosine (an antioxidant found in animal tissues, and thus deficient in vegetarians) acts as a scavenger to inhibit AGE formation, preventing protein modification, protecting LDL from both AGE and oxidation, and even reversing damage that has already occurred. N-Acetyl Carnosine is available as an oral nutritional supplement. Carnosine is less bio-available, but also available as a supplement, and dosages of 1,000 to 1,500 mg per day are recommended. Beta-Alanine, one of the amino acid components of the dipeptide Carnosine, is another option to help reverse AGE, since dosages of 1,000 mg twice a day help sensitive cells produce increased levels of Carnosine. Alpha-Lipoic Acid, found in potato, carrot, broccoli, beet and yam also helps prevent AGE formation. Alpha-Lipoic Acid is an excellent nutritional supplement with many additional benefits as it regenerates other antioxidants including Vitamin C. Immune Modulators Probiotics Probiotic gut flora and symbionts are crucial immune modulators. There should be approximately 2 pounds of the friendly flora in the gut. This is not the case in modern populations because the beneficial flora are destroyed by coffee, toxins, antibiotics, the flu, and many other stressors. Magnesium Magnesium is an essential immune modulator needed as a coenzyme for 300 different processes throughout the body. Deficiency is linked to immune dysfunction, and is found in 70 to 95 percent of the modern population, because it has been mined out of the soils by modern agribusiness methods. Vegetables have lost 25-80% since the middle of the 20th century, and refining of grains removes 80-95%. Magnesium was traditionally re-supplied to field crops by spreading manure, but modern chemical fertilizers are limited to NPK (Nitrogen, Phosphorus & Potassium) because crops still grow as large without the other macro and trace minerals that are essential to our health. Magnesium Glycinate is the best-absorbed form for repletion, and Magnesium Taurate is often recommended in glaucoma since taurine acts as an antioxidant in the retina and the heart. IP6 Inositol hexaphosphate (IP6), also known as phytate, is an immunomodulator, but can deplete important nutrient minerals when taken long term, so be sure to follow with mineral supplementation. IP6 is found in beans, brown rice, corn, sesame seeds, wheat bran, and many fiber-rich foods. Vitamin D3 Besides being an important neurohormone, Vitamin D3 is an essential immune modulator made from Cholesterol when exposed to natural sunlight without interference by sunscreens. Many drugs deplete D3 and deficiency is linked to autoimmune disorders. If your level is low and your liver is making extra Materia Medica Cholesterol, this may be your body's best attempt to restore levels. Take a high potency D3 supplement to restore above average levels. Botanicals Herbs well documented as immunomodulators both in vitro and in vivo include: Shatavari (Asparagus racemosus) Neem (Azadirachta indica) Holy basil (Ocimum sanctum) Ginseng (Panax ginseng) Picrorhiza (Picrorhiza kurroa) Guduchi (Tinospora cordifolia) Ashwagandha (Withania somnifera) (Agarwal, SS and Singh, VK. Immunomodulators: A Review of Studies on Indian Medicinal Plants and Synthetic Peptides, Part I: Medicinal Plants) Curcumin Curcumin is the major component in turmeric (Curcuma longa), a member of the ginger family. It is antiinflammatory and inhibits autoimmune reactions, and its capacity as an immunomodulator has been documented both in vitro and in vivo. Piperine in black pepper and coconut milk both help increase absorption from foods, and some supplements are specially designed to increase bio-availability. Olive leaf extract Olive (Olea europea) leaf extract contains Oleuropein, a patented immunomodulator. Blackseed oil Blackseed oil (Nigella sativa) is an immunomodulator. Muhammad said that blackseed is a "cure for everything but death". Oleander extract Oleander is an immune stimulator and modulator. The raw plant is toxic, so stick to prepared extracts. 72 Glen Swartwout Mushrooms Many mushrooms have important immunomodulating effects with the most important being A. brasiliensis (Royal sun agaricus, or Himematsutake), which contains Flo-a-beta and FA-2-b-Md, C. volvatus, which contains H-3-B, and F. velutipes (Winter mushroom, or Enokitake) containing Flammulin. (Evid Based Complement Alternat Med. 2005 September; 2(3): 285–299. PMCID: PMC1193547). An important mushroom-based spirit mineral carrier and remarkable healer was developed to concentrate the Nous Energy pattern measured at Giza. The details of that story are contained my book titled Nous Energy, including the independent assay done by a very talented modern alchemist, confirming a high percentage of ORMUS content. Colostrum and Transfer Factor Immune factors are intensively transferred to offspring by mammals in the first day or two of milk production. This first milk is known as colostrum, and it contains Transfer Factor. Bovine source works for humans, but should be from healthy organically raised cows, and preferably collected in the first 24 hours. First-Choice for New-Life Colostrum is the pre-milk fluid secreted by the mammary glands of mammals and humans for up to 48 hours. It serves as life’s first food for newborns during those first crucial hours of life. Many specialized immune modulators and growth factors are found in high concentrations to stimulate over 50 different mission critical processes. These include the rapid development of competent immunity and the growth and maturation of all life-sustaining body tissues. This may be why research at both CDC and NIH shows that children who are breast-fed have far fewer childhood diseases than those fed on formula. Used as a natural, whole-food remedy for thousands of years, now medical research shows that adult humans can also receive the full range of benefits from bovine colostrum supplementation. , Materia Medica Fitness Studies are now showing significant gains in fitness with colostrum supplementation. A widely reported study in Australia found a 20% increase in strength, stamina and shortened recovery time for both soccer players and cyclists. Many body builders and fitness experts say colostrum works better than any other legal substance they ever experienced. The growth factors found in colostrum are now known to enhance muscle tone, burn off body fat, promote skin elasticity and increase bone density. TgF alpha and beta (Transforming growth factors) stimulate production and repair of RNA & DNA, as well as repair of damaged muscle fibers in athletes. EgF (Epithelial growth factor) stimulates enhanced skin healing. IGF-1 (Insulin-like growth factor 1) is able to “promote muscle growth by itself” according to Muscle and Fitness associate editor, Steve Schwade. Bovine IGF-1 is effective in humans, differing in its structure by only 3 out of 67 amino acids, and bovine colostrum is found to be even higher in IGF-1 than is human colostrum. The growth factors in colostrum stimulate protein synthesis and slow protein breakdown, resulting in increased lean muscle mass. At the same time, they shift the metabolism from burning carbohydrates, to burning more fats. Olympic skiers taking colostrum experienced less fatigue and improved their performance in a placebo controlled study in Finland. They also showed only half the level of blood creatine-kinase, a marker of muscle injury, compared to placebo control. Another Finnish study confirmed that athletes taking colostrum during strength and speed training did in fact show increased blood serum concentrations of IGF-1. Overall, colostrum is considered as powerful as steroids at generating increased muscle mass when used in conjunction with exercise, but without the risks and side effects. Studies have shown that the growth factors present in colostrum increase between 2,500 to 4,000% (from 25 ng/mg to 50-200 ng/mg) with exposure to acidity. To gain the maximum fitness benefits from colostrum, take it in powder form (empty the capsule in your mouth or onto food) toward the end of a meal, or 45 minutes before a physical workout session with a protein drink like One Step. Friendly flora, which naturally promote a healthy acidity level in the colon may also enhance the benefits of colostrum. 74 Glen Swartwout Immunity Colostrum also provides a potent array of immune factors including immunoglobins, cytokines, interferon, lactoferrin and transfer factor. Supplementation of these factors can dramatically restore immunity, prevent infection and speed healing and recovery from illness. Bovine colostrum, in particular, is up to 40 times higher than human colostrum in these immune factors. Plus, only bovine colostrum contains certain glycoproteins and protease inhibitors, which naturally protect these immune factors from being digested in the intestinal tract. Even so, prolonged exposure to stomach acid would decrease colostrum’s immune effects. Swallowing colostrum in a capsule with a large glass of alkaline, anti-oxidant water (coral water or electrolysis water) between meals (or at the very start of a meal) should be optimum for immune benefits. Immunoglobulins, such as IgA (in blood serum, tears and mucus membranes), IgD (antiviral), IgE (antiviral), IgG (in the lymph and blood, and the most abundant in bovine colostrum) and IgM (antibacterial) are large molecules that attach to foreign invaders. Immunoglobulins make up about 40% of the protein in the blood serum. Immunoglobulins are responsible for humoral or circulating immunity, while cytokines stimulate cellular immunity. Interferon plays a key role in immunity to viruses and cancer. Lactoferrin has been the subject of many medical research studies, proving it to be a very potent and broadspectrum natural anti-microbial and anti-viral agent. , A recent study in the Netherlands confirmed lactoferrin’s ability to inhibit HIV-1. In addition, lactoferrin is a potent anti-oxidant. Transfer factor represents the immunity of the parent to pathogenic organisms, which is transferred to the offspring via the colostrum. It is carried by molecules in the 3,000 to 10,000 molecular weight size range. Yet another factor found in colostrum is PRP (polyproline-rich-peptides). PRP helps to regulate the thymus and normalize both underactive and overactive immune functions. This makes it an ideal remedy for those with autoimmune symptoms like chronic fatigue, fibromyalgia, multiple sclerosis, rheumatoid arthritis, lupus and scleroderma. PRP relieves pain and swelling by preventing hyperimmune overproduction of T-cells and lymphocytes. Colostrum is also one of the most potent known sources of methylsulfonylmethane (MSM), which relieves pain, aids in healing of scar tissue, deters parasites, supports liver detoxification and helps elimination of Materia Medica mercury, among its many functions. MSM, or organic sulfur, is considered the number 3 mineral in the body. Colostrum even contains powerful soil-based organisms, which have been found to provide tremendous health benefits to human health. According to the Centers for Disease Control, anywhere from 30% to 80% of commercial chickens are seriously contaminated with salmonella bacteria. ABV TV quoted a government source that reportedly as many as 33 million Americans suffer food poisoning every year, and that over 9,000 die. Colostrum has been shown to kill Salmonella, along with other disease-causing bacteria such as Campylobacter, E. coli (which killed people when it was present in contaminated meat supplies), Helicobacter pylori (the main cause of stomach ulcers), Listeria, multiple Streptococcus species and Staphylococcus. This is good news in light of increasing appearance of anti-biotic resistant super strains, such as vancomycin-resistant Staphylococcus aureus. A study published in 1978 in the Journal of Pediatrics also found colostrum to be effective against Candida albicans. Research shows that colostrum prevents and controls infection in multiple ways. First, according to clinical studies at Otago University in New Zealand, colostrum has been shown to inhibit attachment of bacteria to the body’s epithelial (surface) tissue. This is a necessary first step for any infection to take hold. Second, lactoferrin acts as a natural anti-microbial and anti-viral. Colostrum also imparts passive immunity to many high-risk organisms, including the leading intestinal killers, E. coli and Rotavirus. At the same time, immune factors enhance the body’s natural defense against virtually all pathogenic bacteria and viruses. Infections, such as intestinal infections that cause diarrhea, can be a real killer. Rotavirus, a major cause of diarrhea, is the world’s leading killer in areas with poor sanitation and contaminated water, but it is also spreading rapidly due to increased travel and immigration. Clostridium and Shigella are two other major killers linked to diarrhea. A 1987 study published in Advances in Experimental Medicine and Biology showed that colostrum effectively kills Clostridium, the organism linked to botulism. An army study at Fort Deitric showed similar results with Shigellosis. Taking colostrum, along with friendly bacterial flora, whenever you travel abroad can be a life saver. Infection is becoming increasingly important as a cause of chronic degenerative disease, as we understand more about etiology, as well. Chlamydia pneumoniae (an intracellular parasite), for example may be a 76 Glen Swartwout triggering factor in atherosclerosis. Researchers now believe that this factor may account for up to 50% of all heart disease. Tissue Repair & Reverse Aging Colostrum’s growth factors stimulate regeneration and repair of muscle, bone, cartilage, skin, collagen and nerve tissues, as well as RNA and DNA. This not only means faster, more complete recovery from injury and illness. It is also how colostrum stimulates age-erasing effects. With prolonged use, the skin becomes more youthful, while age-spots and liver spots disappear. Sexual function is enhanced and bone density increases. Research published in the New England Journal of Medicine has shown that Transforming Growth Factor (TgF-B) found in colostrum, is also produced by osteoblasts, the cells that build bone. TgF-B was found to dramatically increase cell apoptosis (programmed cell death) among osteoclasts, the cells responsible for breaking down and reabsorbing bone. In addition to colostrum, microcrystalline hydroxyapatite (found in Structural Integrity) and DHEA are proven to increase bone density. Colostrum also helps to balance blood sugar and replenish neurotransmitters, resulting in better alertness and concentration, while enhancing mood. Both seratonin and dopamine are released in greater quantities, while their re-uptake is prolonged, allowing each molecule to work longer and more efficiently. For this reason, it is generally best to take colostrum in the morning and again sometime before about 4 PM (e.g. around lunch time or a couple hours after). Intestinal Permeability High intestinal permeability is a normal feature of newborn gut ecology. Colostrum functions to reduce inflammation, protect against irritation from toxins and check any potential infection, while promote epithelial growth and repair. This combination of effects quickly reduces permeability, preventing toxins, irritants, allergens and infectious agents from entering the body’s tissues. A number of serious health syndromes are now known to be associated with an abnormally increased gut permeability. These include Crohn’s disease, cholera, Salmonella and E. coli infection, HIV, arthritis, chronic fatigue syndrome, hepatitis, cystic fibrosis, alcoholism, muscular dystrophy, fibromyalgia and scleroderma. Research shows that colostrum can correct this leaky gut syndrome with its unique combination of immune factors and growth stimulators, which includes epithelial growth factors. Materia Medica In fact, research has shown that colostrum is the single most effective agent for correcting leaky gut syndrome. Of course, other factors can help, too. These include friendly bacterial flora, folic acid, vitamin B12 and aloe. In addition, optimal nutrition should be ensured with a potent, broad-spectrum multi-vitamin and mineral supplementation program, a high fiber intake and lots of steamed vegetables and greens in the diet. Avoiding refined foods, sugar, alcohol, caffeine, chemical additives and tobacco is also crucial. Colostrum also promotes re-colonization of the bowel by the friendly flora. These beneficial organisms help digest our food, so that more nutritional value is available from the same diet and supplements. They also enhance nutrient absorption, feed the epithelial tissue, produce bulk for healthier elimination of wastes, produce B vitamins and prevent infection and disease. When colostrum normalizes this gut ecology, assimilation of nutrients is also enhanced. This means that other dietary, nutritional, herbal, homeopathic and lifestyle interventions work better, too. Topical Applications Colostrum, mixed into a paste with water, helps the body heal injuries such as burns, cuts, abrasions, ulcers, acne and even surgical wounds with topical application (e.g. studies by Bhora, et al published in the Journal of Surgical Residency & Sporn, et al in Science) Topical use in the mouth helps relieve gingivitis, canker sores, sensitive teeth and speeds recovery from dental work. The Perfect Food Colostrum is the perfect food, combining all the crucial immune and growth factors in the exact synergistic combination necessary to promote life. For many, it is considered the ideal alternative to hundreds of pharmaceutical drugs, from antibiotics to steroids. The research on colostrum has documented benefits from dosages in the range of 2 to 60 grams per day with no known contraindications, side effects or allergic reactions reported with thousands of years of use. It is even safe for those with lactose intolerance. Some experts recommend taking it in divided dose (at least 1 gram twice a day) with antioxidant water on an empty stomach for maximum benefits. Here is a partial list of some of the benefits of colostrum: Anabolic Anti-Aging Anti-Fungal 78 Glen Swartwout Anti-Inflammatory Anti-Microbial Assimilation Athletic performance Body-building Bone density Cytokines Digestion Elimination Epithelial growth factor (EgF) Friendly flora Insulin-like growth factor (IGF-1) Immunity Immunoglobins Interferon Interleukin-10 Intestinal permeability Lactoferrin Methyl Sulfonyl Methane (MSM) Muscle tone Prevention Proline-rich Polypeptide (PRP) Recovery time Retinoic acids Skin elasticity Soil-based organisms Sports performance Stamina Terrain Transfer factor Transforming growth factors alpha & beta (TgF-A & TgF-B) Weight loss Wound healing Materia Medica Following is a list of some of the major conditions that your body may be able to better heal or prevent with colostrum: Alcoholism ALS (Lou Gehrig’s Disease) Anemia Arthritis Atherosclerosis Autoimmune conditions Bacterial infection Bone marrow transplant Bullous Pemphigoid Campylobacter Cancer Candida albicans Chlamydia Cholera Chronic Fatigue Syndrome (CFIDS) Crohn’s disease Clostridium Cystic fibrosis Diarrhea Dysbiosis Epstein Barr virus (EBV) E. coli Fibromyalgia Food poisoning Fungal infection Guillan-Barre Syndrome Heart disease Helicobacter pylori Hepatitis Herpes virus HIV 80 Glen Swartwout Influenza Intestinal parasites Irritable Bowel Syndrome (IBS) Kawasaki Syndrome Listeria Multiple Sclerosis Muscular Dystrophy Myasthenia gravis Neutropenia Osteoporosis Overweight Premature birth Rheumatoid Arthritis (RA) Rotavirus Salmonella Scleroderma Shigella Staphylococcus aureus Systemic Lupus Erythematosus (SLE) Thrombocytopenia Ulcers Viral infection Yeast infection What the Experts are Saying “Colostrum has a virus antibody that acts against viral invaders. A wide range of antiviral factors were acknowledged to be present in colostrum.” from a study at the Center for Disease Control in Atlanta, Georgia, published by Dr. E.L. Palmer, et al, in the Journal of Medical Virology “Colostrum contains non-specific inhibitors that inhibit a wide range of respiratory illness, notably influenza viruses. Colostrum is specifically cited for its unique effectiveness against potentially deadly outbreaks of Asian flu viruses that emerge from animal/human mutations.” This was published by Dr. Shortridge, et al, in the Journal of Tropical Pediatrics. Materia Medica “Glycoproteins in bovine colostrum inhibit the attachment of the Helicobacter pylori bacteria that cause stomach ulcers. Colostrum contains significant amounts of interleukin-10, a strong inflammation inhibitory agent found significant in reducing inflammation in arthritic joints and injury areas,” wrote Dr. Olle Hernell, from the University of Ulmea, Sweden, in Science magazine. “Colostrum and breast milk (from cows and humans) stimulates the newborn’s immune system; as yet unidentified proteins speed the maturation of cultured B lymphocytes and prime them for production of antibodies,” according to an article by Dr. Michael Julius of McGill University in Montreal, published in Science News. “Immunoglobulins (in colostrum) are able to neutralize the most harmful bacteria, viruses, and yeasts,” reported Dr. Per Brandtzaeg in the Annals of the New York Academy of Sciences. “Immune factors in cow colostrum, when taken orally, are effective against disease-causing organisms in the intestinal tract. Ingestion of bovine colostrum’s immunoglobulins may be a new method of providing passive immunoprotection against a host of gut-associated disease-causing antigens.” This was written by Dr. R. McClead, et al, and published in Pediatrics Research. “Clinical studies show that IgE found in bovine colostrum, may be responsible for regulating allergic response,” according to Drs. Tortora, Funke and Cast in Microbiology. “Studies with human volunteers found that the preservation of the biological activity of IgG in the digestive secretions of adults receiving bovine colostrum orally, indicates passive enteral immunization for the prevention and treatment of acute intestinal diseases,” according to Dr. L.B. Khazenson in an article in Microbial & Epidermal Immunobiology. “Colostrum stimulates the lymphoid tissue, providing benefits in aged or immunodeficient people. Nature has used the oral route for the development of the immune system since the origin of mammals. Oral administration of immunofactors is simple, inexpensive, free of side-effects and may be vastly beneficial in veterinary and human medicine, to correct immunodeficiency.” Drs. Bocci, Bremen, Corradeschi, Luzzi and Paulesu wrote this in the Journal of Biology. “Immunoglobulin from bovine colostrum effectively reduces and prevents viral and bacterial infections in immune deficient subjects: bone marrow recipients, premature babies, AIDS, etc.” according to the New England Journal of Medicine. 82 Glen Swartwout “Researchers reported that colostrum stimulates maturation of B lymphocytes and primes them for production of antibodies, enhances growth and differentiation of white blood cells. Similar activity in cow and human colostrum can also activate macrophages” according to Dr. M. Julius at McGill University in Canada (Science News). “Immunoglobulin in colostrum has been used to successfully treat: Thrombocytopenia, Anemia, Neutropenia, Myasthenia gravis, Guillan-Barre Syndrome, Multiple Sclerosis, Systemic Lupus Erythematosus, Rheumatoid Arthritis, Bullous Pemphigoid, Kawasaki Syndrome, Chronic Fatigue Syndrome and Crohn’s disease, among others.” Dr. Dwyer wrote this in the New England Journal of Medicine. “PRP, in bovine colostrum, has the same ability to regulate activity of the immune system as hormones of the thymus gland. It activates an underactive immune system, helping it move into action against diseasecausing organisms. PRP also suppresses an overactive immune system, such as is often seen in the autoimmune diseases. PRP is highly anti-inflammatory and also appears to act on T-cell precursors to produce helper T-cells and suppressor T-cells.” Dr. Staroscik, et al, wrote this in Molecular Immunology. “PRP was found not to be species-specific. It turns white blood cells into functionally active T-cells. Results were shown in treatment of autoimmune disorders and cancer. An important immune modulator, it stimulates an underactive immune system and tones down an overactive one,” wrote Drs. Janusz and Lisowski in Archives of Immunology. “Bovine colostrum contains TgF-B which has an important suppressive effect on cytotoxic substances (i.e. it is anti-inflammatory). It inhibits cell growth of human osteosarcoma (cancer) cells (75% inhibition). Mediator of fibrosis and angiogenesis (healing of heart muscle and blood vessels), (Roberts et al, 1986), accelerates wound healing (Sporn, et al, 1983) and bone formation (Centrella, et al, 1987)” write Drs. Tokuyama at the Cancer Research Institute at Kanazawa University in Japan. “Only retinoic acids, found in colostrum, conferred protection and reduced colonization of the herpes virus. Although not a cure, retinoic acids effectively reduce the herpes virus to levels (1/100th to 1/10,000th) where the body’s immune system could fight off an outbreak.” Dr. Charles Isaacs, et al, wrote this in Science. “Colostrum contains Retinoic Acid, which helps fight herpes virus. It also contains glycoprotein (kappa casein) that protects against the bacteria that cause stomach ulcers.” - Dr. Raloff in Science News. Materia Medica “Reducing viral levels in the body and stimulating natural immune capabilities holds the most promise in helping our immune systems contain the HIV virus,” according to Dr. Nowa and Dr. McMichael in Scientific American. “Growth factors in bovine colostrum were found to be very effective in promoting wound healing. Recommended for trauma and surgical healing. External and internal applications” writes Dr. Sporn, et al, in Science. “Cartilage-inducing Factor-A, found in colostrum, stimulates cartilage repair,” according to Drs. Seyedin, Thompson, Bentz, et al, in the Journal of Biological Chemistry. “Bovine colostrum contains high levels of growth factors that promote normal cell growth and DNA synthesis” conclude Drs. Oda, Shinnichi, et al, in Comparative Biochemical Physiology. “IgF-1, found in colostrum, stimulates bone and muscle growth and nerve regeneration. Topical administration to wounds resulted in more effective healing.” Drs Skottner, Arrhenius-Nyberg, Kanje and Fryklund wrote this in Acta Paediatric Scandinavia. “The failure of chronic wounds to heal is a major medical problem. Doctors suggest that an important role for growth factors is in promoting wound healing. Accelerated healing is possible for treatment with trauma and surgical wounds,” write Drs. Bhora, et al, in Journal of Surgical Residents. “High age is associated with reduced levels of growth hormones: GH and IgF-1. Induction of GH and IgF1 increase body weight through muscle growth of aged subjects.” Drs. Ullman, Sommerland and Skottner are with the Department of Pathology and Pharmacology at the University of Gothenburg, Sahlgren Hospital & HabiVitrum AB of Stockholm, Sweden. What Practitioners are Saying Nikki Marie Welch, MD, a graduate of Duke and Johns Hopkins who did post-graduate work at Yale, says “I prescribe colostrum to about one third of my patients. The anecdotal evidence shows that patients are thriving after taking the supplement - that their conditions usually improve substantially.” Carl Hawkins, D.C., says “I use colostrum for problem patients who have been unable to get results with other doctors and courses of treatment. Being board certified in kinesiology, I use kinesiology testing 84 Glen Swartwout extensively in my practice. When I test clients for colostrum, I find that it tests positive about 90% of the time, - more often than any other remedy I test.” Pauqel Mason, a practiticing herbalist, reports “The most common response I get from my clients is ‘I feel so good when I take it.’ Many of my clients find that after 6-8 months on colostrum, they are completely clear of all the allergies they had previously. I’ve also seen excellent results with Fibromyalgia, which is notoriously difficult to treat.” Medical doctor, Roberty Y., has seen excellent results with Fibromyalgia, as well...in himself. A well respected physician, who served as Chief of Staff at his community hospital and state President for the American Academy of Family Physicians, he was diagnosed with Fibromyalgia at the Mayo Clinic. Despite $1,000 a month in medications, nothing worked to relieve his muscle aches, fatigue, decreased alertness, poor sleep and depression. Nothing, that is, until he began taking colostrum. After the first month, people in the community could even notice the difference and began asking him what he was doing. He was able to eliminate all medications, and after four months, considers himself fully 100% improved. As a final note, colostrum’s effectiveness is partially credited with the current availability of health products and health information in America today. Several years ago, a Congressman from Iowa, Berkley Bedell, was suffering from Lyme disease, without relief from the standard medical treatment. Within 48 hours of using colostrum, he had achieved full remission. When the farmer who supplied the remedy was arrested for practicing medicine without a license, Congressman Bedell realized that the laws needed to be changed. Together with Orrin Hatch from Utah, he drafted the now famous Dietary Supplement Health and Education Act (DSHEA), which eventually became Public Law PL 103-417. This law increased access to natural remedies and health information, and effectively prevented the FDA from implementing plans to make most supplements available only by prescription. What Consumers are Saying: A Firefighter from Pennsylvania Battles Scleroderma... George is a firefighter from Butler, Pennsylvania. He suffers from an autoimmune condition called scleroderma. He says, “I first noticed a tingling in my left calf muscle and some discomfort when I stooped down. I went to the doctor in February, 1995. In the months that followed, my leg got worse with loss of Materia Medica hair, discoloration, increased thickening of the skin, a decreased range of motion and increasingly severe pain when I stooped down. The skin on my calf became so hard it seemed to be petrified. In September, after seeing many specialists and undergoing a lot of tests, I was diagnosed with linear scleroderma. I was no longer able to work as a firefighter. Along with physical therapy, medications taken internally and applied topically (steroid cream), I had to take Tylenol #3 for the pain. I applied Vaseline to my leg and wrapped it with gauze to prevent infection. I would get large blisters on my leg which would break open and get infected. A biopsy was done and it was determined I had patches of bullous scleroderma. The blisters would take months to heal. In March of 1996, I was introduced to colostrum. I was very skeptical about it and did not take it until mid May, 1996. After three days of taking it, I noticed itching in my leg. On the tenth day, the pain in my leg was gone, and I noticed that a patch of morphea on my abdomen was gone - with only some slight discoloration left. After six weeks, my doctor was astonished at the improvements, and began weaning me off Prednisone and Cuprimine. At that time I increased the colostrum from six capsules a day to eight. I am continually seeing improvement - the thick skin has thinned out and become more pliable, requiring only an over-the-counter lotion. I believe the colostrum is reversing the damage to my leg and that without it, I would still be having serious problems. Colostrum may or may not be the cure for scleroderma but it sure makes it easier to live with. I am back working as a firefighter.” After 35 Surgeries, A Maryland Woman Has Hope... Gwendolyn, a middle-aged woman from Fort Washington, Maryland, has suffered for years with Rheumatoid Arthritis. Here, in her own words, is her story... “Beginning at age 18, with a hip replacement, up to age 37, I underwent 35 major surgeries due to rheumatoid arthritis and blood problems, including multiple bilateral, total joint replacements of hips, knees, elbows, wrists and toes. 86 Glen Swartwout At age 43, I had to wear a brace for six months for cervical fractures in my neck. I then had to have my leg amputated above the knee due to disease, excessive bone cement from previous replacements and years of steroids. I developed the same problem with my left elbow. A 2 cm hole burst open above my elbow that continually drained a greenish pus. The MRI showed significant infection in the humerus. A culture was done and the bacteria were staph, strep and pseudomonas. Immediate surgery was suggested to remove necrotic tissue and bone. My sister introduced me to colostrum. I applied it topically and took it internally. After just one month, the infection is gone. The hole above my elbow has closed. I have no more pain, swelling or redness and the tissue surrounding the wound that was dimpled is filling in. Some other surprises - I will no longer need blood pressure medicine because my blood pressure is normal. Also, everyone is complimenting me on how vibrant and healthy I look. Colostrum has forever changed my life! I have been blessed!” Colostrum is best collected only during the first 12 hours, and processed at low heat for absolute maximum potency. It should contain at least 20% IgG and 0.6% lactoferrin. Take friendly flora with it for added synergy. With 500 mg capsules, start by building up to a loading dose of 4 or 5 capsules twice a day, then reduce to a maintenance dose of 2 capsules twice a day when desired results are achieved. Colostrum Endnotes: Noda, et al. Transforming Growth Factor Activity in Human Colostrum. Gann, 1984: 75; 19-112. Francis GL, et al. Insulin-like growth factors 1 (IGF-1) and 2 (IGF-2) in bovine colostrum. Biochemical Journal, 1988: 251; 95-103. Rudman D, et al. Effects of human growth hormone in men over 60 years old. New England Journal of Medicine1990: 323 (1); 1 Pakkanen R and Aalto J. Growth Factors and Antimicrobial Factors of Bovine Colostrum. International Dairy Journal 7 (1997) 285-97. Burke E. in Nutrition Science News, May, 1996. Materia Medica Mero A, et al. Effects of bovine colostrum supplementation on IGF-1, IGG and saliva IGA during training. University of Jyvaskyla, Finland. Bellamy W, et al. Identification of the bactericidal domain of lactoferrin. Biochim Biophys Acta, 1121 (12): 130-6, 1992, May 22. Kazuhito H, et al. Inhibition with lactoferrin of in vitro infection with human herpes virus. Department of Molecular Life Science, School of Medicine, Tokai University. Wilson J. Immune System Breakthrough: Colostrum. Journal of Longevity, 1988, 4(2). Henderson D. Fitness Benefits of Colostrum. Whole Foods, August 1999, p. 9. MGN3 MGN3 Biobran is a potent and well-documented mushroom-based immunomodulator. Phytosterols Phytosterols, such as beta sitosterol, are plant fats, related in structure to cholesterol, but functioning as immune modulators. This means that they reduce problematic inflammatory responses to toxins and allergens, while increasing immunity against pathogens. They are found at high levels in sprouts, and have traditionally been filtered out of virtually all commercial oils to make them clear and visually attractive for increased sales. Unfiltered flax oil is now available in health food stores. Sterols and sitosterolins are plant fats that provide a growing list of health benefits. They are responsible for the therapeutic actions of some of our favorite herbs, including saw palmetto, pumpkin seed, pygeum, Devil's claw, milk thistle, ginkgo and ginseng. The structure of these special plant fats resemble the animal fat cholesterol but their function is remarkably different. They occur naturally in fruit, vegetables, seeds, sprouts and nuts, as well as root tubers. Essential for the life process, they are especially concentrated in seeds and sprouts. These unique phytonutrients modulate the secretions of lymphocytes, thereby having a profound, and sometimes seemingly miraculous effect on the immune system. The world's most potent combination of sterols and sterolins was produced from 8 different beneficial sprouts, including Hypoxis, a species of African potato. This herb has long been used in Zulu medicine for 88 Glen Swartwout chronic viral conditions, sexually transmitted diseases (STD's), TB and cancer. The combination is known in Africa as "Muti", which is Zulu for "Big Medicine", because even the scourge of AIDS seems to be no match for it. Seeing clinical studies of AIDS patients gaining weight and improving in health is truly a 'Muti' Miracle of modern medicine. In fact, 200 subjects are being studied, and their CD4 lymphocyte counts are stable. Their Interleukin-6 levels are reduced. They show a decrease in total viral loads and they are feeling well. In fact, they have shown no overt signs of disease progression since they began taking the supplement in 1992. Very little of these plant fats in our diet is bioavailable because they firmly bind to plant fibers. One would have to eat approximately 240 pounds of fresh whole foods a day to get the amount of these valuable plant substances in 2 capsules of Muti Miracle. With refining, heating, processing and storage, the level of sterols and sterolins in our diet is reduced even further. Even freezing destroys these sensitive oils by breaking cell walls, thus releasing enzymes that break down glycosides. These fats were first isolated as early as 1922, and have now been studied for two decades in over 130 double-blind placebo-controlled clinical trials. For example, decreased cytokine levels in the synovial fluid of Rheumatoid Arthritis sufferers confirms their anti-inflammatory properties. Sterols and sterolins correct the underlying dysfunctions found in autoimmune conditions like RA. They increase T-cell secretions, which then regulate the overproduction of antibodies by B-cells. Plant fats are now being used in Africa to manage cancer, hypoglycaemia, chronic arthritis, asthma, sinusitis, autoimmune diseases and to reduce susceptibility to infection. They are also being studied for their effects on arthritis, tuberculosis, psoriasis, allergies and cervical cancer. Results with HIV: In the April 2, 1998 issue of The Nation published in Nairobi, research was reported to the Kenya Medical Society that"...plant fats - sterol and sterolin - stabilized and maintained HIV positive patients' capacity to fight off infections over a period of 27 to 36 months. Prof. Bouic said another group of patients who had opted out of the open-ended trial however developed and died of Aids 18 months into the trials. He said the sterol-sterolin mixture had also been shown to slowly reduce the viral load of seropositive patients over a nine month duration." Materia Medica "At nine months," he said, "there was a major reduction in the viral load, down to a level that the body could manage." Even Dr. Luc Montagnier, who identified the AIDS virus 20 years ago, has now shown interest in the ability of sterols and sterolins to boost the body's defense mechanisms. Clinical trials on the Feline Immuno-deficiency virus have proven that sterols/sterolins stabilize the immune responses of cats infected with the FI virus. Sterols and sterolins have been shown to modulate the functions of T cells by enhancing their cellular division and their secretion of important soluble factors called lymphokines. Sterols/sterolins promote the activity of the cytotoxic cells. The activities of these cells are crucial in viral diseases like herpes and chronic fatigue syndrome as well as diseases involving bacteria that live inside the cells, such as tuberculosis. Sterols and sterolins do not stress the body. They are non-toxic and free of common allergens. In fact, they seem to reduce stress. Stress suppresses the immune system via hormones such as cortisol. With extreme physical stress, such as in marathon running, pro-inflammatory factors are also released adding to tissue damage. Plant sterols and sterolins decrease both cortisol and inflammation. As with any product that enhances immunity, these natural food substances are not recommended for anyone with an organ or bone marrow transplant. Diabetics should also keep an eye on their insulin levels, as they must when taking chromium or other supplements that can enhance sugar regulation. Sterols and sterolins protect the bone marrow, and thus the immune system, from the damaging effects of radiation and chemotherapy. Clinical trials have been conducted on BPH (Benign Prostatic Hyperplasia), HIV and pulmonary tuberculosis. Clinical trials are also being developed in cervical cancer, rheumatoid arthritis and ME (yuppie flu). One effect of these compounds is that they prevent absorption and facilitate excretion of cholesterol. This is important because oxidized cholesterol in the diet is one of the most potent carcinogenic and atherogenic toxins known, making it an important risk factor for the top 3 killer diseases of our culture. Oxidized cholesterol is found in all meat and dairy products, especially when cooked or processed. Meats do not have to be fatty to be high in cholesterol. In fact, turkey is the highest, due to a high cholesterol content in its muscle cell membrane (ed: there goes another tryptophan source). Cooking in a low oxygen environment also helps. This can be accomplished by using a pressure cooker, for example, or poaching eggs. 90 Glen Swartwout Sterols and sterolins have been tested on over 25,507 human patients and in animal studies at doses of 2,500 times higher than those used in humans. No toxicity or adverse drug reactions occurred in any of these trials. Product Comparison Starfire's Muti Miracle is the most concentrated known source of plant sterols and sterolins. No chemical extractions are used, so no residues contaminate the product. Commercial extraction-based products on the market combine soy sterolins with readily available sterols from oil pine (used for lamp fuel) to achieve a patentable combination product. We use the whole food Hypoxis (African potato) source used in the original studies, which has now become available through hydroponic technology, together with the maximum potency oilseed sprout and six other sprouts. The others are wheat, barley , lupin, fenugreek, soy and African sunflower. Hypoxis is guaranteed to make up 10% of the total blend. All our sprouts are freeze dried at low temperature within one hour of harvesting to maintain optimum potency. Added enzymes activated by ionic minerals increase the bioavailability of the sterols and sitosterolins. Here's a brief analysis of two different products at about the same price: Comparison of a Competitor versus my "Muti" Miracle (not available at this time; substitute Sterol Max) Sterols: 20 mg (pine oil) vs 18 mg (Hypoxis sprout, etc.) Sterolins: 0.02 mg (soy) vs 4.5 mg (Hypoxis sprout, etc.) Bioavailability: .5 to 10% vs 80 to 90% As you can see, our product is over 200 times more potent in sterolin content. The sterols are responsible for effects like immune cell proliferation and decreased cholesterol levels. But the sterolins are important for effects on T cells. The natural whole food sprouts in our blend have a ratio ranging from 4:1 to 10:1 (average 6:1) of sterols to sitosterolins. Research also shows a synergistic effect between sterols and sterolins in the absorption process of each. That is, sterols are needed for optimum absorption of sterolins, and vice versa. Materia Medica So why would a company use less sterolin? The sterolins are lost from the pine oil (lamp fuel) when the sterols are extracted with solvents, so they replace some with sterolins from soy. Also, to patent a formula it had to have a ratio of sterols to sterolins (100:1) an order of magnitude different than that found in nature. Directions: They should be used on a continuous basis at 2 capsules per day on an empty stomach. For the first month, to build up body levels faster, it is suggested to double the dose to 2 capsules twice a day. Effects are cumulative over the first weeks and months. Do not take sterols and sterolins together with animal products or fibers as these inhibit absorption of the plant sterols. Topic Studied: Summary of Results: AIDS: no disease progression, weight gain, feel better Allergies: increased lymphokines that inhibit IgE secretion Atherosclerosis: prevents absorption of oxidized cholesterol in diet Autoimmune conditions: corrects underlying immune dysfunction Breast Cancer: 66% cancer cell growth inhibition in vitro Cardiovascular disease: decreased LDL cholesterol Cervical Cancer: study planned Chemotherapy: protection of bone marrow Cholesterol: reduced absorption of dietary cholesterol Colon cancer: cancer cell growth inhibition in vitro Contraindications: none known Coronary disease: decreased LDL cholesterol Cortisol: reduced blood levels Endurance athletes: decreased inflammation, prevent infection Herpes: increased cytotoxic cells HIV: stable CD4, decreased viral load after 9 months Immune dysfunctions: normalizes high and low immune responses Immunity: increase lymphokines, NK & T cells in vitro/vivo LDL: lowers blood LDL levels Lupus Erythematosus: case studies ME (yuppie flu): study planned 92 Glen Swartwout MS: case studies Parasites: case studies Prostate Hypertrophy: BPH successfully treated Prostate Cancer: 28% cancer cell growth inhibition in vitro Psoriasis: case studies Radiation Therapy: side effects prevented or greatly reduced Rheumatoid Arthritis: decreased inflammation & cytokines in synovium Safety: no animal toxicity at 2500 times the human dose Side effects: no side effects or drug interactions (25,000 cases) Stress: reduced blood cortisol level Tuberculosis: increased weight gain and T-cell count Veterinary applications: stabilizes immune system in FIV Viral infections: increased cytotoxic cells "It's the remedy of the future. People will take it to prevent colds and infections, the way they now take vitamins." - Professor Piet van Jaarsveld, Head of the Dept. of Pharmacology, University of Stellenbosch, South Africa "It seems incredible that the sterols/sitosterolins plant fats have such potent immunomodulatory advises in both humans and animals. But, then, to think that these molecules are totally absent from our basic foodstuffs due to the refinement processes..." -Dr. Patrick J. D. Bouic, Head of the Immunology Department, Medical Microbiology, University of Stellenbosch, South Africa Endnotes (see print version for placement in text): These fats include such compounds as b-sitosterol, stigmasterol, campesterol. The sitosterolins are fatty alcohols and are also commonly referred to as glycosides. Six studies at the University of California, Davis, show that enzymes in green barley extract may accelerate detoxification of malathion, an organophosphate pesticide. According to Natal University Materia Medica Research performed at the State University of New York at Buffalo with b-sitosterol showed that estrogenindependent MDA-MB-231 breast cancer cell proliferation is inhibited by a different pathway than that found in colon and prostate cancer research (enzyme PP2Ar). Campesterol did not inhibit breast cancer cell growth. First shown by D. W. Petersen at the University of California, Berkeley Eli Lilly introduced the cholesterol-lowering drug Cytellin containing sitosterol in 1957. Research at the State University of New York at Buffalo led by Atif Awad, Ph.D., found that b-sitosterol replaces cholesterol in the cell membrane, enhancing intracellular communication by transduction to a secondary messenger that signals cells not to divide. Earlier research identified the sphingomyelin cycle as a biocommunication pathway that regulates cell division. b-sitosterol increased activity of two enzymes in this cycle by 31% and 50% respectively. This may help explain why vegetable fats, such as virgin olive oil which is rich in b-sitosterol, can reduce the risk of certain cancers. Prostate cancer risk is low among Asians eating a vegetarian diet, but increases with migration to meat-eating countries. Research published by Awad in the Journal of Nutritional Biochemistry (1998) showed that plant fats also reduce prostate cancer risk by reducing levels of testosterone and the enzymes that metabolize testosterone into more active forms. A 6-month study of 43 patients with Pulmonary Tuberculosis taking conventional multi-antibiotic treatment In two studies of cats expected to die from FIV, all those on placebo continued to deteriorate or died, while all on the sterolin supplement stabilized and remained healthy. Therapeutic levels of plant sterols are available in Sterol Max (from Enriching Gifts) and ModuCare (licensed by Wakunaga through a variety of manufacturers including Thorne Research). 94 Minerals Nutrient Minerals Minerals are the elements of the Periodic Table of Chemistry. These elements also combine to form the minerals of geology as well as the organic chemistry of life, such as vitamins, proteins, fatty acids, etc. Each mineral element has its own unique resonance pattern or fingerprint in the electromagnetic spectrum. When combined into molecules, these patterns may also shift. Tissue mineral levels can be tested non-invasively through a hair or urine sample, both of which are excretion tissues. The minerals are dissolved and their resonance in the electromagnetic spectrum is detected. For a summary of the elements as light frequency oscillators, see the companion Volume II: Anima Medica (The Soul of Medicine) of the Vis Medicatrix Naturae (The Healing Power of Nature): Colors of the Minerals (by color) and Elements of the Rainbow (by mineral). According to Nobel Prize winner Albert Szent-Gyorgi, absorption of the specific resonance frequencies of light alter the function of elements and compounds that they make up, such as enzymes, neurotransmitters and hormones, but as much as 500%. For more on therapeutic application of light frequencies, see the chapter on Quantum Energy in Volume II of this set. Minerals are the fundamental building block of the chemistry and structure of all life. Minerals are essential as catalysts in most enzymes and are the key catalysts in vitamins as well. Even the spirit-body is composed of M-state condensates of the transition minerals. Individual Mineral Overviews More detail will be provided on individual minerals in a later section, organized by the Groups of the Periodic Table. To begin making mental space for that information, here is a brief alphabetical introduction to some of the key players... Materia Medica Boron Boron is necessary in trace amounts for calcium absorption and healthy bones. Calcium Calcium is the body's most widely used mineral. It helps form and maintain teeth and bones; promotes good cardiovascular health and assists in the proper function of the nervous system. Thinning of the bones called osteoporosis, usually seen in older women is being noted in young women because of Candida albicans and eating disorders. There must be a proper balance between calcium and phosphorus in order for it to be transported to the bone marrow and prevent osteoporosis. According to statistics, osteoporosis is reversible with proper nutritional intake, even at an older age. Structural Integrity Phase 3: Regenerate bones and teeth This formulation utilizes the most bioavailable form of calcium, Microcrystalline Hydroxyapatite, plus the needed minerals, including Boron, to support the bone matrix. Studies have shown that this form of calcium is superior over traditional soluble calcium supplements. A study done with patients experiencing bone loss has shown an increase of 6.1% in cortical bone density. The use of this form of calcium along with other forms will double the amount of calcium that is absorbed. Chromium Chromium (also called Glucose Tolerance Factor or GTF) stimulates the activity of enzymes involved in the metabolism to glucose for energy. The synthesis of cholesterol, fats and protein also requires chromium. This mineral helps to regulate sugar levels in the blood as well as converting fat tissue into muscle tissue. Research has shown that Chromium supplementation improves blood sugar regulation lowering the amount of insulin required to maintain that blood sugar balance. It has also shown to be involved in fat metabolism and facilitating muscular energy utilization. Chromium, like other Phase 5 products, is needed to support all five phases of health. Phase 1: Chromium is used for boosting cellular energy and metabolism and enhancing sugar regulation. Phase 2: Chromium is necessary for enzyme production. 96 Glen Swartwout Phase3: Chromium is involved in growth and regeneration of all body tissues, and has been shown to increase muscle. Research has confirmed chromium's stimulation of liver regeneration. Phase 4: Chromium is needed by the liver in various functions of detoxification, and has been shown to burn off fat. Phase 5: Chromium is needed for handling stress and balancing sugar regulation. Chromium supplementation also increases longevity by approximately 5 years. Copper Trace amounts of Copper assist the development of bones, nerves, connective tissues, and hemoglobin. Aiding the body to oxidize Vitamin C, copper works with this vitamin to form elastin. Copper is also necessary for the production of RNA (ribonucleic acid). Germanium Sublingual organic germanium is helpful as both an antioxidant and oxygenator. It is very beneficial in radiation exposure. Iodine Essential for the health of the thyroid, iodine regulates the rate of metabolism. Organic Iodine from Pacific Kelp Phase 1: Stimulate & Support Basal Energy Metabolism Kelp has been found to contain an additional compound, as yet unidentified, which stimulates thyroid metabolism. Even when the organic iodine content is removed from kelp it still boosts the basal energy level. Iron Iron's major function is to combine with protein and copper to form hemoglobin. Hemoglobin is the coloring matter of red blood cells which carries the oxygen from the lungs to every cell of the body. Iron builds up the quality of the blood. Most iron supplements are poorly absorbed and as a result contribute to Materia Medica constipation. A well absorbed, well tolerated and effective form is Ferrasorb (Thorne Research), containing iron picolinate. Lithium Lithium is essential for normal mood elevation. There is a narrow range between optimal and toxic, so it is only supplemented in very small dosages, often in the homeopathic range. Magnesium Magnesium is needed for healthy muscle tone, bones, heart, nerves and the efficient synthesis of proteins. It is essential in proper calcium utilization by the body and keeps calcium in place. Recent scientific reports point out that the ratio of calcium to magnesium should be one calcium to two magnesium instead of the more commonly indicated ratio of two calcium to one magnesium. Most magnesium is poorly absorbed and simply loosens the stool, or even contributes to diarrhea. The best absorbed form is Magnesium Glycinate (Pure Encapsulations). Another form that is often recommended is the combination of magnesium with malic acid for increasing ATP production, and reducing symptoms of fibromyalgia. One such product is ATP+, distributed by Remission Foundation. Manganese Manganese aids in nourishing the nerves and brain and helps in the proper coordinative action between brain, nerve, and muscles in every part of the body. It assists in the formation of healthy red blood cells and is necessary in the development of normal skeleton and connective tissues. It is also needed in the formation of thyroxin, one of the main components of the thyroid gland. Manganese is available in a well absorbed picolinate form as well as an amino acid chelate and a citrate. Mercury (toxic) Under unstable, stressful, toxic, acidic conditions, the spirit minerals can break down into Mercury. Conversely, under optimal conditions of energetic and conscious coherence, the spirit body may be able to alchemize metallic Mercury into the non-metallic high-spin forms of the Transition Elements of the Palladium Group to nourish and build the structure of the immortal soul. 98 Glen Swartwout Molybdenum Molybdenum aids in lowering excess copper levels. Negative factors in the body including Candida Albicans contribute to weakening the immune system by not allowing enough oxygen to the cells. Cells must receive adequate oxygen to stay healthy. Molybdenum helps in clearing pathways to the cells for oxygen to get through to the cells and it assists to keep the oxygen intact within the cell. Nitrogen Nitrogen is found mainly in the body's amino (amino group in organic chemistry = Nitrogen + (2)Hydrogen = NH2) acids, and the structural and function (enzyme) proteins they make up. When alkaline minerals are depleted under great stress, Ammonia (NH3) is used as a quick-fix emergency buffer system to counterbalance toxic acids with toxic, but alkaline (pH 11.4) ammonia. Phosphorus Phosphorus is important in carbohydrate, fat and protein metabolism and in maintaining an acid-alkaline balance in the blood and tissues. Assisting growth, maintenance and repair of cells and for production of energy, phosphorus must be in balance with calcium at the ratio of 2.5 calcium to 1 phosphorus. Potassium Potassium works with calcium and magnesium to promote a healthy nervous system and works with sodium to help regulate water balance within the body stimulating the kidneys to eliminate poisonous body wastes. It is necessary for normal growth and proper alkalinity of the body fluids. Selenium Selenium serves as an antioxidant, providing valuable protection against environmental pollutants. Used properly, selenium can help to slow the aging process, strengthen the immune system and improve energy levels. It also helps support the cardiovascular and reproductive systems and helps nourish the skin. The most frequently recommended form is L-Selenomethionine, an organically bound selenium. Materia Medica Silicon Silicon plays a major role in preventing cardiovascular disease. It is needed for bone and connective tissue formation and for healthy hair, skin and nails. It also fights the negative effects of aluminum on the body and is important in the prevention of Alzheimer's disease and osteoporosis. Organic silica is available in tablet form derived from horsetail herb. Silver Mild Silver Protein is the recommended form of organically bound silver trace mineral supplement. It is a non-toxic and non-irritating liquid, and can even be applied directly to red, irritated eyes without dilution for wonderful results. Sodium Working with potassium, sodium helps regulate water balance within the body and helps to equalize the acid-alkaline balance in the blood. It aids in preventing a buildup of mineral deposits in the blood by keeping other blood minerals soluble. The production of hydrochloric acid in the stomach requires Sodium. Sulphur Sulphur is needed for healthy hair, nails and skin and for strong nerve health. It has been otherwise called nature's "beauty mineral". MSM (methylsulfonyl methane) is the most cost effective way to supplement this important mineral. Organic sulfur is also available in beneficial forms including N-acetyl cysteine, glutathione and alpha-Lipoic acid. Tungsten Tungsten regulates sugar and carbohydrate metabolism. balances high or low thyroid function. radiation. 100 Tungsten prevents mental illness. Tungsten Tungsten protects against medical, commercial and military Glen Swartwout Vanadium Vanadium is part of the natural circulating regulating system. Its presence in the brain fights against cholesterol formation in the blood vessels. It should be kept in balance with chromium. Vanadyl sulfate is the preferred form. Zinc Beneficial in all healing processes, zinc is an important mineral for the immune system. It relates directly to the proper absorption and action of vitamins, especially the B-complex group. It is a constituent of over 300 enzymes involved in digestion and metabolism. Zinc is essential for the proper function of the reproductive organs and the prostate gland. It is also necessary for building strong bones and for normal hair, nails and the growth of teeth. Functions of the Elements Functions with biophysics of health Phase, embryological tissue layer System and essential Minerals: Growth, development, metabolism, Phase 3 (Regenerate), System 4 (Communicate): Ca Mg K I B Mn Fe Zn P Si Ti Ge Renewing cells, resisting tiredness & senility, promoting cellular energy: Phase 2 (Rejuvenate), System 4 (Communicate): Mn Fe Zn P Si Teeth & bone strength: Phase 3 (Regenerate): System 2 (Support): Ca P Mn Si B G.I. health, promoting absorption of nutrition: Phase 3 (Regenerate), System 3 (Process): Ca Si K Fe Zn Co Resistance against viruses: Phase 1 (Energize), System 2 (Support): Ca Si Ge Promoting the normal growth of muscles & fat: Phase 3 (Regenerate), System 1 (Flow): Ca Mg K I P Protecting eyes & vision from diseases & tiredness: Phase 1 (Energize), System 4 (Communicate): K Fe P I Ge Strengthening function of hematopoiesis (formation of red blood cells) controlling blood capillary sclerosis and arterioselerosis (thickening or hardening of blood vessels), regulatlng blood vessels: Phase 3 (Regenerate), System 2 (Support): Fe Co Zn Co P K Mo V Ti Ge Materia Medica Strengthen heart function: Phase 3 (Regenerate), System 2 (Support): K Mg Fe Mn Ca P Co Ti Ge Skin, hair on body & head: Phase 3 (Regenerate), System 5 (Integrity): P Co T1 Ge V K Ca I Fe Cu Zn P Mn Ge Muscle growth: Phase 3 (Regenerate), System 1 (Flow): Co K Mn Mg Fe P V Ti Ge Endocrine regulation, genital function, preventing age-related disease in women: Phase 3 (Regenerate), Systems 1+4 (Flow + Communicate): Ca I Fe Cu Zn F P Strengthen nervous system: Phase 3 (Regenerate), System 4 (Communicate): Ca Mg SI Fe K Ti Strengthening liver function: Phase 3 (Regenerate), System 3 (Process): Ca Mg K Mn Fe Detoxification, sugar regulation, preventing acidosis: Phase 4 (Cleanse), Systems 1+4 (Flow and Communicate): Cu Zn Si Ge Strengthen and protect myocardium, reduce high blood pressure: Phase 4 (Cleanse), System 2 (Support): Mo Ca Se Ti Ba Increase blood vessel elasticity & reduce Ca on blood vessel walls: Phase 2 (Rejuvenate), System 2 (Support): Si F Cr Mg Er Sango Coral Drink a cup of Longevity! One of the best measures of health is longevity. Several areas around the world have been noted to produce increased longevity, many of them in mountainous areas such as that inhabited by the Hunzas. In glacial areas, mountain streams carry a fine silt of crushed rock dust, providing a high level of alkaline minerals such as calcium and magnesium in the water. These mountain streams also tend to carry a negative electrical charge, making this 'milk of the mountains' into a natural antioxidant to protect against the ravages of free radicals that cause both aging and disease. The nation with the highest longevity of any on earth today is Japan. And within Japan it has been noted that the people on two particular islands, Okinawa and Tocunoshima, live an average of 10 to 15 years longer than in the rest of Japan's 47 prefectures, despite the similarity in culture and diet. In fact, in 1979, a 102 Glen Swartwout British journalist for the Guinness Book of World Records travelled to Tokunoshima to interview Shigechiyo Izumi, the oldest documented living person at that time at the age of 115. After submitting to and passing a medical checkup, Mr. Izumi was asked how someone his age could be so healthy."Simple," he said."I've drunk water all my life - gallons and gallons of it." Mr. Izumi lived to be over 120 years old, and also happens to hold the world record for the longest career, despite years of smoking and drinking alcohol! Japanese researchers have traced the cause of the increased longevity to the drinking water, which is alkaline and reduced (like alkaline Microwater), in contrast with the acidic water found in most of Japan. After studying over 500 rivers in Japan, and correlating acidity with death rates, Professor Jun Kobayashi of Okinawa University reported in 1982 that the more acidic the water was, the higher the incidence of serious disease became. Yet, Okinawa Prefecture stood alone, isolated from all other points on the graph. This becomes understandable when you realize that the pH of the water there is a very alkaline 8.6, compared to acid pH's elsewhere below the neutral point of 7.0. Not long after this, additional research from 17 European cities also confirmed the link between mineral content in the water and heart attacks. The reason for the exceptionally healthy water in Okinawa is the coral-calcium sand through which the water percolates, making a unique "milk of the ocean." This particular sand is derived from the Sango Coral, a special species of coral unique to that area and no other coral has been found to duplicate the same therapeutic effects. There are only two suppliers of this coral worldwide. The Coral-Calcium carried by Starfire International is the one actually used in the research, and is processed with significantly less heat, thus retaining its vital electromagnetic health qualities. Overheating of coral simply turns it into chalk. Professor Kobayashi himself, born in 1909, has been monitoring the effects of Coral-Calcium on his own physiology. His blood pressure was 145/90 when he started using it, and it has steadily decreased to its present level of 125/75. He has not suffered from any disease, either major or minor, since using CoralCalcium. He believes that Coral-Calcium also cures morning sickness and helps assure deliver of health babies. In fact, he even gives it to his cats, which live to ripe old ages up to 21 years! The number two association with human lifespan is the health of the sensitive crystalline lens of the eye. Of all the Japanese, the Okinawans have the fewest cataracts despite their location 800 miles south of the southern tip of the main Japanese islands, thus receiving more UV sunlight than in any other part of Japan. The remarkable health and longevity found in Okinawa has been attributed primarily to the distinctly different drinking water found in those coral reefs, which is alkaline and anti-oxidant, compared to the acidic, oxidizing water found in the volcanic islands of the rest of Japan. Okinawan Sango coral is available in sachets, like little tea bags, as well as in a finely ground powder, for treating water. It converts chlorine gas into chloride ions in seconds and eliminates most other toxins from water by a combination of Materia Medica electrolysis and adsorption. Alkalinity released, primarily due to the dominant Calcium and Magnesium carbonates found in coral, as well as the broad spectrum of 72 trace minerals including rare earth minerals are stable in the resulting water over long periods. The electron content providing anti-oxidant properties, however, reaches its maximum in 5-10 minutes and then dissipates over a period of about 24 hours. Corals from other parts of the world have similar effects, but not as potent as the Sango coral of Okinawa. This coral water is called "milk of the ocean" just as the milky high mineral content water in mountainous areas renowned for their high longevity is known as "glacial milk." Since the discovery of the link between Coral-Calcium and longevity, over 4,000,000 Japanese now benefit from drinking water made with a small teabag of our Coral-Calcium each day. The tea-bag is simply placed in as much as 2 liters of water for at least 5 minutes, with no heating required, and then used for drinking within 24 hours. It is best stored in a covered container, and may be refrigerated or frozen if desired. The Coral-Calcium also combines with any heavy metals in the water, such as aluminum and cadmium, and stimulates a redox reaction that changes toxic chlorine gas into physiological chloride ions. It even balances water containing bacteria, algae, fluoride, and chloroform. This makes it a perfect treatment for the water served in most restaurants or wherever untreated tap water is served! Just plop one in and its ready to drink in a minute due to the small volume! The same applies to tea, coffee, reconstituted orange juice, beer, wine and any other beverages made with water. Because the coral sand, derived from a once-living coral animal, carries life-giving electrons, it comes in a protective foil pouch to prevent exposure to electromagnetic pollution from depleting its energetic antioxidant properties. The calcium and magnesium supplied by Coral-Calcium are in ionic form and highly bio-available, even more so than colloidal minerals, most of which are huge particles thousands of times larger than ions, simply suspended in water. In the bloodstream, which must remain slightly alkaline to support life, increased alkalinity of 0.15 pH units also has the effect of increasing available oxygen by 65%!!! In fact, researchers have found that the reason acid rain kills all life in lakes and streams is that in acid conditions, all the oxygen is so tightly bound to hydrogen that it becomes bio-unavailable! Coral-Calcium was brought to the world market by Rolf Ericsson of Sweden, who's daughter-in-law is from Okinawa. After four years on the product himself, he now looks about 20 years younger. Since CoralCalcium has become a phenomenon worldwide, even notable people like Mel Gibson and Sean Connery are putting the Coral-Calcium in their drinks! In this country, an MLM company with over 20,000 members had the exclusive distribution rights for Coral-Calcium until now. But then Starfire International, a little company in Hawaii was been chosen as one 104 Glen Swartwout of just 5 select companies to carry the product. Why? Worldwide distribution is through Rolf Ericsson's company based in Sweden, and when they decided to terminate their relationship with their former distributor here, they asked their representative to find 5 good, solid companies to run with. Well, it turns out that the man who brought Coral-Calcium to this country, Fred Kaufman, was well aware of Starfire because his mother, Dorothy was a distributor for Starfire. What a small world it is... You see, in the early '80's Dorothy had been 'given' 6 months to live by Mayo clinic, diagnosed with terminal cancer. After extensively researching natural health alternatives, they found a number of remarkable products, including the multi-vitamin, which is now exclusively available through Starfire as Star Gold! The best part was that when six months had elapsed, she was found to be totally free of cancer! The doctors at Mayo Clinic started calling her "the Miracle Lady." Then, starting from an article published in their local newspaper, Fred began to receive calls from all over the country. He shared information with many people, and began lecturing as well. In fact, he was even invited to speak at an alternative cancer meeting in Sweden, and that is how the Swedish company with the Coral-Calcium found him to bring their product here! Coral-Calcium has some amazing properties. By increasing availability of oxygen, damage to the muscular lining of the arteries, as well as other tissues, is prevented. As a result, the rates of stroke, heart disease, digestive problems, skin complaints and even cancer in Okinawa and Tocinoshima are radically lower than those found throughout the rest of Japan. According to the Japanese research, alkaline conditions reduce both cardiovascular disease and cancer, the major killers of our time, by a factor of 10! In fact, cancer cells die within 3 hours in alkaline conditions, while healthy cells thrive. The work of Otto Warburg, responsible for his winning the 1932 Nobel Prize, showed that viruses, harmful bacteria and fungi all require low oxygen conditions to grow. Calcium itself is also one of the most important elements to life, being involved in more functions than any other element. Other forms of calcium require hydrochloric acid production in the stomach to ionize them first before they are utilized. Since deficiency of HCl, a condition known as hypochlorhydria, becomes increasingly prevalent with aging, the provision of ionized calcium in CoralCalcium water is a boon to the elderly as well as anyone concerned about osteoporosis and other calcium deficiency symptoms like bone spurs, arthritis and other degenerative tissue changes. About 150 diseases are caused by calcium deficiency. For example the highest rates of stroke and heart attack occur in areas with the lowest levels of calcium in the soil! Some of the symptoms that Coral-Calcium is frequently reported to improve include hiatal hernia, indigestion, gastroenteritis, ulcerative colitis, rheumatoid arthritis, joint pain, morning stiffness, osteoporosis, osteoarthritis, bone spurs, and cataracts. For example, Dr. O. J. Braenjord of Norway says "The best results so far are without any doubt those with rheumatoid arthritis. Among 70-80% of my patients are improving. Also my cancer patients appear to get a better quality of life." Dr. B. Ogeus, President of Pain Hospice in Soderhamm, Sweden reports "It seems to me that Coral Materia Medica Calcium has a positive effect on people suffering from rheumatoid arthritis, diabetes, allergies, angina, and fibromyalgia." Egyptian-born researcher, Dr. Michael Abdou, believes that coral calcium is the best solution yet for women at risk of osteoporosis, with none of the side effects of hormone replacement therapy. In addition, his own problem with acidity was eliminated with Coral-Calcium, and he says "My wife used to have headaches, but she had a dramatic recovery within a week of taking coral calcium." Arthritis in particular seems to respond, though in varying degrees, to Coral-Calcium without fail. After treating over 800 people, the Brittish medical doctor who wrote the book Coral Calcium - Arch-Enemy of Arthritis, reports that "...no arthritis sufferers have taken it without experiencing considerable benefit which cannot be said for any other remedy or treatment." One Coral-Calcium user comments, "After six weeks of taking it religiously every day, I find I am no longer struggling to get out of bed and I hardly need my braces. Also, I have not taken a painkiller since starting the coral calcium regime." More people report the benefits of Coral-Calcium: James, age 50, suffered from chronic hyperacidity, and says "My condition was getting steadily worse, and causing a great deal of concern. Since taking [coral calcium] daily, my condition has improved dramatically, and I even noticed an immediate improvement." Linda, with arthritis in her hips and shoulders, plus spondylitis of the vertebrae, found that after 10 weeks she could put her tights on easily, cut her toenails and tie her shoelaces, all of which had been impossible before. Laura, age 60, reports "I have just completed my first 12 weeks' supply of coral calcium and would like to tell you how thrilled I am with the results. After more than a dozen years of pain in all my joints I have at last found some relief." Kathleen, suffering from severe arthritis, says "After taking it for eight weeks, I have noticed a remarkable change and can now walk without pain. I have recommended it to a lot of people as a result." Ruth reports being able to walk to the local village for the first time in four years. June writes "I have felt much better - better than I have done for a long time. I can use my legs and feet much better, after suffering years of agonising pain." Angela, age 45, who has already had to have both hips and both knees replaced due to arthritis, says "After six weeks I found such a great improvement in my health that I have been able to cut out all of my 106 Glen Swartwout painkillers and two of my anti-inflammatory tablets, leaving me with only one tablet a day instead of six. I feel better than I have done for a long time and have recommended it to friends who are also sufferers." Daphne, who suffers from rheumatoid arthritis, writes in her fourth month on Coral-Calcium "the pain and inflammation have reduced considerably." David, age 60, reports "Having taken coral calcium for 10 weeks I feel like a new man. In the past, doing simple things, that most people take for granted, such as climbing stairs or even walking a couple of hundred yards to the shops was a nightmare. Thanks to coral calcium I can now get out to meet friends." Christopher, age 59, says "I have a problem with crumbling vertebrae and am in constant agony. It is very uncomfortable, even with lots of painkillers. However, after two weeks of taking coral calcium, I found the pain has completely gone, and I can now quite comfortably walk up and down stairs. It is wonderful to be pain-free, and to feel generally better in all respects." Ellen, who was suffering from arthitis at age 64, experienced some increase in discomfort during the first 3 weeks due to detoxifcation but reports that "...after three weeks I could go up the stairs without any trouble and do my shopping. I have no pain at all." Mike says "I have been taking coral calcium for seven weeks and yes, it is a miracle. I feel I have a new lease of life, having just reached my 85th birthday." Alison, who suffers from osteoarthritis, comments "It has helped me so much. I have more energy and my joints do not hurt so much." Peter, at age 52, has already had multiple surgeries on his spine and knees. He says "I've been in agony for as long as I can remember." After four weeks, he had'nt yet noticed any difference, but his wife made him continue the Coral-Calcium."Two weeks later, I said to her, 'I think its working.' She replied, 'I've known that for the past two weeks." Now he is not only pain free, he is actually able to run again! "I was going to have an operation to remove my wrist bone - I even think I'm going to be able to cancel that now," he reports. Ethel, age 79, who suffered from osteoporosis and stabbing pains following a fracture to her cheek bone, experienced complete pain relief within weeks, and says "friends who haven't seen me since I started taking my 'sand' are absolutely amazed at my mobility." Materia Medica Helen, from Essex, England, raves "I would not like to be deprived of this wonderful product which has helped me so much and on which I have grown dependent. It is now, in fact, my new walking-stick! It is high time everybody knew about the marvelous benefits of coral calcium." In contrast to Coral-Calcium which relieves aches and pains by supporting healing, anti-inflammatory drugs have actually been shown to reduce the ability of the body to repair tissues such as cartilage in the joints, and corticosteroids can even cause osteoporosis. Up to six bags a day of Coral-Calcium may be used for relief of acute symptoms, with no more than 4 bags in each 2 liters. Some doctors suggest adding elderflower tincture when flavoring is desired. Aromatherapists also report that Coral-Calcium adds to the benefits of their treatment protocols. Physiotherapist and former international athlete, Leonard Walters, is convinced that Coral-Calcium is the most effective treatment for sports injuries as well. A former skeptic, he reports "I had been in constant pain since a bad injury at the age of 28, and had all the high-tec treatment going. I also tried every kind of painkiller, but I was never really free from pain. Coral calcium was suggested to me by a Swedish doctor, and the pain disappeared completely within six weeks. I was so amazed, I tried it out on my patients, and have a 70 to 80 percent success rate." Since there are no drug interactions or side effects, it is recommended for anyone with dealing with painful symptoms. A graphic demonstration of the effects of Coral-Calcium can be made by using a liquid pH indicator. When added to water or a clear alcohol like gin or vodka, it shows the acidity of the solution by its amber color, with a pH under 7. Then simply drop in a bag of Coral-Calcium and watch the color change to blue, indicating an alkaline pH of about 8.5! Now, don't drink the water or alcohol, because the pH indicator dye is toxic, but people report when adding Coral-Calcium (the water, the bags, or even ice cubes made with the water) to wine or other alcoholic beverages that it prevents hangovers and other negative after-effects! Strong spirits like gin and vodka will actually take on a blue color just by adding Coral-Calcium. A study at Columbia University also showed that smokers find it easier to quit when they increase their alkaline intake. Since coral grows in the sea, in addition to providing calcium and magnesium, Coral-Calcium provides all the trace minerals found in ocean water, which is very similar in chemical composition to blood plasma. Some of the most exciting include minerals like yttrium, which increases lifespan, and praesodymium, which actually doubles the lifespan of animals! Coral is also considered one of the best sources for naturally concentrated m-state minerals that feed the light body. Coral-Calcium is an indispensable part of your daily health regime. Trace-Minerals 108 Glen Swartwout Coral has been used in medicine at least since the 1st century after Christ, as recorded in Persia. Out of 204 prescriptions, several types of coral were included in Al-Kindi's Medical Formulary (ca. 870 A.D.). This knowledge was brought to Spain in the eighth century, where the oldest pharmacy (est. 1685, A.D.), now a museum, records the inscription, "The blond coral is the only coral used for medicine" as well as the fact that coral benefits the heart and elevates the mood. Over 70 minerals are found in coral, even though some of these trace minerals are not found at detectable levels in ocean water, which contains 84 minerals. Element & ppm: Aluminum* 180 Antimony .37 Arsenic .38 Barium 2.29 Beryllium <.06 Bismuth <.09 Bromine .14 Boron .182 Cadmium <.1 Calcium* 391,000 Carbon* 119,000 Chlorine 275 Chromium .625 Cobalt .091 Copper <.2 Deuterium 150 Dysprosium .18 Erbium 5.19 Europium <.1 Fluorine .67 Gadolinium .094 Gallium .692 Germanium .191 Materia Medica Gold <.05 Hafnium <.15 Holmium .091 Hydrogen 1100 Indium <.06 Iodine 1.22 Iridium <.04 Iron* 510 Lanthanum .323 Lead <.08 Lithium .66 Lutetium .078 Magnesium* 4,190 Manganese 26.9 Mercury <.01 Molybdenum <.08 Neodymium 1.11 Nickel <.08 Niobium <.09 Nitrogen <.005 Osmium <.2 Palladium <.025 Phosphorus 94.1 Platinum <.03 Potassium 32.5 Prasodymium 2.73 Rhenium <.2 Rhodium <.02 Rubidium .22 Ruthenium .081 Samarium <.05 Scandium .049 Selenium <.08 110 Glen Swartwout Silicon* 1280 Silver .38 Sodium 129 Strontium 295 Sulfur 1780 Tantalum <.1 Tellurium <.2 Terbium .091 Thallium 1.24 Thorium .101 Thulium .052 Tin .198 Titanium 5.88 Tungsten <.09 Vanadium .267 Ytterbium .051 Yttrium .461 Zinc 2.51 Zirconium <.08 *Elements that may appear to be present on routine laboratory analysis, but may in fact be other m-state minerals. Recipe: The wizard's formula for Lemurian milk is ultra-fine Sango coral powder plus stevia in a microwater base, to which other secret ingredients can be added to make individualized healing elixirs. Two favorite additions are MSM and TMG. References: Halstead, B.W. Fossil Stony Coral Minerals and their Nutritional Application Hodgkinson, L. Coral Calcium, Arch-Enemy of Arthritis Rappaport, J. Coral Calcium: The Next Health Revolution Materia Medica Mineral Groups Group I: Hydrogen Hydrogen Hydrogen is the smallest, lightest and most abundant element in the universe making up about 90% of the mass of the universe. The body starts life about 90% hydrated (with water) and typically ends at about 50% water. Hydrogen is the most important element for our health. Over 99% of the atoms in the electric universe are Hydrogen, and about 2/3 of those in the biological bio-suit are Hydrogen since over 99% of the molecules are water, and water is 2/3 Hydrogen by the number of atoms. Hydrogen is abundant in water (H2O, or di-hydrogen-oxide) making up 2/3 of its atoms, just as water covers 2/3 of the Earth's surface at this time. Hydrogen is a natural and abundant fuel source for nonpolluting technology, making Earth an attractive refueling station as well as a perfect rest stop, healing oasis and growth medium for carbon-copy life forms. Hydrogen is essential for the organic chemistry of life, being found in in all organic compounds, including carbohydrates, proteins and fats. Hydrogen ions (H+; H3O+ or Hydronium in an aqueous solution) are measured by pH (potential Hydrogen, a logarithmic scale where each scale unit represents a 10-fold change in concentration). Low pH 112 Glen Swartwout (acid) means high Hydrogen ion concentration, while high pH (alkaline) means low Hydrogen ion concentration. Life processes produce acids: carbonic acid formed by the end products of aerobic (oxygen-based) cellular metabolism: Carbon dioxide (CO2) and Water Lactic acid formed by anaerobic (oxygen-deficient, fermentation) Modern life also produces acids: Sugar and refined foods Most OTC and Rx Drugs and other toxins The body is designed to buffer (balance) these acids by alkalizing with: Diet: fruits and vegetables, sprouts, buckwheat, millet Alkaline water, such as Microwater and Sango-Coral water Calcium, stored in the bones, and other alkaline minerals Ammonia in case of emergency needs, when alkaline minerals are deficient: this can be seen in saliva pH challenge test. The two acid-forming organs are the kidneys (forming acidic urine to eliminate acid wastes) and the stomach (forming hydrochloric acid, HCl, to kill parasites and begin digestion of proteins and fats). As we get older, there is a strong tendency to lose the capacity to acidify the stomach, which is also essential for absorption of most minerals. One form of hydrogen we can all do without is hydrogenated oils, such as margarine, a synthetic oil invented to take the place of butter during the shortages of WWII. When faced with a serving of margarine when dining out or on an airplane, I like to edutain those around me by my parody of a commercial as I pretend to find it strangely enticing: "Honey, I can't believe it's not food." Materia Medica Lithium Functions: Lithium affects cerebral neurotransmitters and moderates disorders of mood. Lithium affects many enzymatic processes including synthesis of nucleic acids. Dosage: Lithium salts are prescribed in psychiatry to treat manic-depressive crisis at therapeutic dosages of about 1 to 3 gm per day. At medical doses, lithium can be very toxic, causing cramps, tremors, convulsions, and coma. Renal function and blood lithium must be carefully monitored. Trace element therapies use less than 1 mg per dose of lithium salts. At safe oligo element dosages of 0.30 to 0.60 mg/day, lithium moderates and balances the psyche. Sources: Vegetables, cereals, sea water, seafood, sea salt Oligo Element Uses: Anxiety Emotional instability Irritability Sleep disorder Sodium Since sodium (Na) is the major osmotically active cation in the ECF compartment, changes in total body Na content are paralleled by changes in ECF volume. When total Na content is low, ECF volume is depleted. ECF volume depletion is sensed by pressure receptors located in the cardiac atria and thoracic veins and results in increased renal Na conservation. When total Na content is high, volume overload develops. The high-pressure receptors located in the carotid sinus and renal juxtaglomerular apparatus sense the overload and increase natriuresis so that volume can be adjusted toward normal. The total body Na content is regulated by a balance between dietary intake and renal excretion. Significant Na depletion does not occur unless there are abnormal renal or extrarenal Na losses from the skin or GI tract combined with inadequate intake of Na. Defects in renal Na conservation also may be caused by primary renal disease, adrenal insufficiency, or diuretic therapy. 114 Similarly, Na overload results in an Glen Swartwout imbalance between intake and excretion, but because of the large Na excretory capacity of normal kidneys, Na overload generally implies defective renal Na excretion. Renal sodium excretion can be adjusted widely to match Na intake. The control of renal Na excretion starts with renal blood flow and GFR. The amount of Na delivered to the nephron for reabsorption varies directly with the GFR. Thus, Na retention may be secondary to chronic renal insufficiency. Also, decreased renal blood flow as in heart failure will decrease GFR and the filtered load of Na, resulting in edema. The renin-angiotensin-aldosterone axis is perhaps the main regulatory mechanism of renal salt excretion. In volume-depleted states, GFR and Na delivery to the distal nephron decrease, causing release of renin by the afferent arteriolar cells of the juxtaglomerular apparatus. Angiotensinogen (renin substrate) is enzymatically cleaved by renin to form the inactive polypeptide angiotensin I. Angiotensin I is further cleaved by angiotensin converting enzyme (ACE) to the active hormone angiotensin II. Angiotensin II increases Na reabsorption by decreasing the filtered load of Na and enhancing proximal tubular Na reabsorption. Angiotensin II also stimulates cells of the adrenal cortex to secrete the mineralocorticoid aldosterone. Aldosterone increases Na reabsorption through direct effects on the loop of Henle, the distal tubule, and the collecting duct. Disturbances of the regulation of the renin-angiotensin-aldosterone axis result in various fluid volume and electrolyte disturbances. Pharmacologic manipulation of the renin-angiotensinaldosterone system remains a mainstay of treatment of many such disturbances. Recently, several natriuretic factors have been identified, including an ouabain-like substance that induces natriuresis by inhibiting Na+, K+-ATPase. A second group of atrial natriuretic peptides (ANP) has also been identified. The active circulating ANP appears to contain 28 amino acids and is derived from the C terminal of a precursor peptide. ANP is found in secretory granules in cardiac atrial tissue and appears to be released in response to pressor-induced acute increases in BP, to salt loading and ECF volume expansion, and to other causes of atrial stretch. Elevated plasma levels of ANP have been reported in patients with ECF volume overload, primary aldosteronism, heart failure, renal failure, cirrhosis with ascites, and in some patients with essential hypertension. Conversely, depressed plasma levels of ANP have occurred in some patients with the nephrotic syndrome and a presumed decrease in effective circulating ECF volume. In vitro, ANP opposes the vasoconstrictive effects of angiotensin II and inhibits aldosterone release and the Na-retaining action of aldosterone. When ANP is infused into animals or humans, the effects are variable. Infusion of physiologic levels of ANP in humans does induce mild natriuresis but also decreases plasma levels of angiotensin II, aldosterone, and plasma renin activity. Larger doses of ANP augment natriuresis and increase GFR despite falls in renal plasma flow and BP. ANP appears to play an important role in the Materia Medica regulation of ECF volume, Na metabolism, and BP. However, its full physiologic, pathophysiologic, and therapeutic significance remains to be clarified. Symptoms of hyponatremia generally occur when the effective plasma osmolality falls to <= 240 mOsm/kg regardless of the underlying cause. The rate of the decrease, however, may be as important as the absolute magnitude of the decrease; symptoms may occur at somewhat higher plasma osmolalities if the change occurs rapidly. Manifestations of hyponatremia can be subtle and consist mainly of changes in mental status, including altered personality, lethargy, and confusion. When hyponatremia is accompanied by disturbances in total body Na content, signs of volume depletion or overload are also present (see Extracellular Fluid Volume Contraction and Extracellular Fluid Volume Expansion, above). As the plasma Na falls below 115 mEq/L, stupor, neuromuscular hyperexcitability, convulsions, prolonged coma, and death can result. Rarely, initial improvement in response to treatment may be followed by delayed neurologic symptoms culminating in coma, persistent vegetative state, or death. Various anatomic changes, including cerebral edema, cerebellar tonsil herniation, and demyelinating lesions (both pontine and extrapontine), have been observed. Neuropathologic changes of central pontine myelinolysis associated with hyponatremia have been described, particularly in patients with alcoholism, malnutrition, or other chronic debilitating illness. Hypernatremia: A major symptom is thirst. The absence of thirst in conscious patients with hypernatremia suggests an impaired thirst mechanism. Patients with difficulty communicating may be unable to express thirst and thereby to obtain access to water. The major signs of hypernatremia result from CNS dysfunction due to brain cell shrinkage. Confusion, neuromuscular excitability, seizures, or coma may result; cerebrovascular damage with subcortical or subarachnoid hemorrhage and venous thromboses are frequent postmortem findings in patients dying with severe hypernatremia. Experimentally, the osmotically active substances in CNS intracellular fluid become elevated in response to chronic hypernatremia. Therefore, the degree of brain cell dehydration and resultant CNS symptoms are less severe in chronic than in acute hypernatremia. When hypernatremia occurs in association with disorders of Na balance, the typical symptoms of volume depletion or overload are present (see Extracellular Fluid Volume Contraction and Extracellular Fluid Volume Expansion, above). A large volume of hypotonic urine is characteristically excreted in patients with renal concentrating defects. When losses are extrarenal, the route of water loss is often evident (eg, vomiting, diarrhea, excessive sweating), and the urinary Na concentration is low. 116 Glen Swartwout Japanese research using Chitosan has shown that the hypertensive effect of salt is caused by the Chloride component rather than the much maligned Sodium. Taking Chitosan before a salty meal abolishes postprandial spikes in blood pressure by preventing uptake of Chloride in the gut. Potassium Potassium is needed to regulate water balance, levels of acidity, blood pressure, and neuromuscular function. This mineral also plays a critical role in the transmission of electrical impulses in the heart. People with low blood levels of potassium who are undergoing heart surgery are at an increased risk of developing heart arrhythmias and an increased need for cardiopulmonary resuscitation. 1 Potassium is essential for carbohydrate and protein metabolism. Sources: Fruit and vegetables as well as beans and milk supply significant potassium. Well documented uses: High blood pressure (for people not taking potassium-sparing diuretics ) Kidney stones (citrate in combination with magnesium citrate) Science supported uses: Cardiac arrhythmia Congestive heart failure Premenstrual syndrome Stroke Deficiency: Primitive diets provide more potassium than modern diets, which may provide too little. Gross deficiencies are rare except in prolonged vomiting, diarrhea, or use of potassium-depleting diuretic drugs. People taking these drugs are often advised to take supplemental potassium. Prescription potassium provides more than the amounts sold over the counter but not more than in several pieces of fruit. Materia Medica Dosage The best way to obtain extra potassium is to eat several pieces of fruit per day, as well as liberal amounts of vegetables. The amount of potassium found in the diet ranges from about 2.5 grams to about 5.8 grams per day. The amount allowed in supplements, 99 mg per tablet or capsule, is very low, considering that one banana has about 500 mg. One should not attempt to achieve higher potassium levels by taking large numbers of potassium pills. Concentrated potassium can irritate the stomach, unlike food potassium. Side-effects: High potassium intake (several hundred milligrams at one time in tablet form) can produce stomach irritation. People using potassium-sparing drugs should avoid using potassium chloride-containing products, such as Morton Salt Substitute=, No Salt=, Lite Salt=, and others and should not take potassium supplements, except under the supervision of a doctor. Even eating several pieces of fruit each day can sometimes cause problems for people taking potassium-sparing drugs, due to the high potassium content of fruit. Potassium and sodium work together in the body to maintain muscle tone, blood pressure, water balance, and other functions. Many researchers believe that part of the blood pressure problem caused by too much salt (which contains sodium) is made worse by too little dietary potassium. People with kidney failure should not take potassium supplements, except under careful medical supervision. Drug Interactions: Angiotensin-Converting Enzyme (ACE) Inhibitors (Adverse interaction) Albuterol (Depletion or interference) Amiloride (Adverse interaction) Atenolol (Adverse interaction) Benazepril (Adverse interaction) Beta-Adrenergic Blockers (Adverse interaction) Betaxolol (Adverse interaction) Bisacodyl (Depletion or interference) Captopril (Adverse interaction) Celecoxib (Depletion or interference) Cisplatin (Depletion or interference) 118 Glen Swartwout Colchicine (Depletion or interference) Oral Corticosteroids (Depletion or interference) Digoxin (Depletion or interference) Docusate (Depletion or interference) Enalapril (Adverse interaction) Epinephrine and other stress hormones reduce intracellular potassium. Consume a diet high in vitamin C, potassium, and magnesium, or consider supplemention. Etodolac: NSAIDs cause kidney dysfunction and increase blood potassium, especially in older people. Do not supplement potassium without consulting your doctor. Felodipine (Depletion or interference) Gentamicin (Depletion or interference) Haloperidol may cause hyperkalemia (high blood potassium) or hypokalemia (low blood potassium). Heparin: may cause hyperkalemia (high blood potassium). Potassium supplements, potassium salt substitutes (No Salt=, Morton Salt Substitute=, etcetera), and high-potassium foods (e.g. fruit) should be avoided unless approved by your doctor. Ibuprofen causes kidney dysfunction which increases blood potassium, especially in older people. Do not supplement potassium without consulting your doctor. Indapamide (Depletion or interference) Indomethacin (Adverse interaction) Ipecac (Side effect reduction/prevention) Ketorolac (Adverse interaction) Labetalol (Adverse interaction) Lisinopril (Adverse interaction) Loop Diuretics (Depletion or interference) Losartan can cause hyperkalemia (high blood potassium). Potassium supplements, potassium salt substitutes (No Salt=, Morton Salt Substitute=, etcetera), and high-potassium foods (e.g. fruit) should be avoided unless approved by your doctor. Magnesium Hydroxide: People taking potassium-depleting diuretics and people at risk for potassium deficiency (e.g. chronic diarrhea or vomiting) may have a drop in serum potassium if taking magnesium Materia Medica without additional potassium. This can cause muscle cramps or, in people taking digoxin or digitalis, cardiac arrhythmias. People with a history of potassium deficiency and people at risk for potassium deficiency, as well as people taking digoxin or digitalis, should ask their health practitioner before taking magnesium. Metoprolol (Depletion or interference) Mineral Oil (Depletion or interference) Moexipril (Depletion or interference) Nabumetone: NSAIDs cause kidney dysfunction and increase blood potassium, especially in older people. Do not supplement potassium without consulting your doctor. Nadolol (Depletion or interference) Neomycin (Depletion or interference) Oxaprozin: NSAIDs cause kidney dysfunction and increase blood potassium, especially in older people. Do not supplement potassium without consulting your doctor. Piroxicam (Adverse interaction) Quinapril (Adverse interaction) Quinidine (Side effect reduction/prevention) Ramipril (Adverse interaction) Rofecoxib (Adverse interaction) Salsalate (Depletion or interference) Senna: Overuse or misuse of laxatives, including senna, can cause water, sodium, and potassium depletion. Limit laxative use, including senna, to one week or less. Threlkeld DS, ed. Gastrointestinal Drugs, Laxatives. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, May 1991, 318a-9 Sotalol (Adverse interaction) Spironolactone (Adverse interaction) Sulfamethoxazole (Adverse interaction) Sulindac (Depletion or interference) Tetracycline (Depletion or interference) Thiazide Diuretics (Depletion or interference) 120 Glen Swartwout Thioridazine (Side effect reduction/prevention) Timolol (Adverse interaction) Tobramycin (Depletion or interference) Triamterene (Adverse interaction) Trimethoprim (Adverse interaction) Trimethoprim/Sulfamethoxazole (Adverse interaction) Reference 1. Wahr JA, Parks R, Boisvert D, et al. Preoperative serum potassium levels and perioperative outcomes in cardiac surgery patients. JAMA 1999;281:2203-10. Rubidium Rubidium is found in the rocks and seawater as well as the human body, which normally contains about 350 mg. Rubidium is not yet considered essential. Rubidium is chemically similar to potassium and while some animals can use it instead of potassium for certain functions, this is not known to be true for humans. Rubidium might be a potassium antagonist for absorption and utilization. Rubidium absorption via the intestines is about 90% and it is found spread throughout the body, with the lowest level in bone and dental tissue. Any extra rubidium is eliminated primarily by the kidneys. Sources: Food sources of rubidium are not well researched. Some fruits and vegetables have about 35 ppm. Rubidium may also be in some waters. Rubidium supplements are available both as pills and liquid. Functions: No essential functions of rubidium are known yet. In studies with mice, rubidium decreases tumor growth, perhaps by replacing potassium in cellular transport systems or by attaching to cancer cell membranes. Rubidium is extremely alkalizing. Rubidium may have a tranquilizing or hypnotic effect in some animals and humans. Uses: Materia Medica There are no mainstream uses for rubidium yet. Its tranquilizing effect could help in the treatment of nervous disorders and epilepsy. It has been used for alkalizing in cancer support and research. Deficiency and toxicity: Rubidium deficiency and toxicity are not well understood. Rubidium deficiency depresses growth and life expectancy in goats. Rubidium deficiency may increase cancer. Requirements: There is no RDA for rubidium. The average dietary intake could be around 1.5 mg per day (typical range 1 to 5 mg). Rubidium is higher in certain foods including coffee, black tea, fruits, vegetables (particularly asparagus), poultry and fish. Rubidium is typically high in volcanic soils. (Dr. A. Keith Brewer, High pH Cancer Therapy With Cesium, page 17) Reference: Haas EM. Staying Healthy with Nutrition: The Complete Guide to Diet and Nutritional Medicine Cesium Alkalizing Mineral Therapy Cesium is especially important for people with large tumors as a way of rapidly shrinking masses of cancer cells. Supplementation should ideally be carefully monitored by a competent health practitioner. (H.E. Sartori, M.D., Cancer 1985 - Orwellian or Utopian) Complementary: Enzymes, parasite cleanse, mineral supplementation and emotional work. Cesium & Cancer In the 1930'a Dr. Otto Warburg won a Nobel Prize for his research on the terrain of cancer cells. A normal cell changes adversely with oxygen deficiency. In this state of hypoxia the cell reverts to fermentation of glucose instead of aerobic oxidation. Lactic acid, the end product of fermentation lowers the pH of the cytoplasm and impairs the ability of DNA and RNA to control cell division, which must increase to hold the lactic acid sludge. Lactic acid also causes pain and impairs enzyme functions. Cancer often appears as a rapidly growing outer cell mass with a core of dead cells. Cesium is a highly alkaline mineral which limits cellular uptake of glucose, starving cancer cells and decreasing fermentation of lactic acid. Cesium raises intracellular pH to about 8.0 neutralizing the weak 122 Glen Swartwout organic acid, lactic acid which stops the pain within 12 to 24 hours. A pH of 8.0 is deadly to cancer cells which die off within a few days and are absorbed and eliminated through the kidneys. Mass spectrographic and isotope studies show that tumor cells prefer uptake of certain alkaline minerals: Cesium Germanium Potassium Rubidium This uptake is enhanced by certain antioxidants: Vitamin A Vitamin C Selenium Zinc In regions where there is high Cesium in the soil cancer is virtually unknown: Hopi Indians of Arizona Hunza of North Pakistan Indians of Central and South America. Possible side effects of high doses of Cesium: Numbness between the mouth and nose Nausea Flu-like symptoms of cleansing Hypotension/arhythmia due to Hypokalemia (those taking high doses of cesium should take additional potassium and/or consume potassium rich vegetables) High pH Therapy Tests on mice given cesium and rubidium showed marked shrinkage of tumors within 2 weeks. The mice showed no side effects from the treatment or cancer cell necrosis. Human clinical trials consistently showed tumor shrinkage and resorption. Diet in regions where cancer incidence is lowest is essentially high pH therapy. Materia Medica High pH therapy for cancer developed from experiments on isotope movement across membranes: plant animal embryo cancer cells synthetic membranes mass spectrographic analyses of membranes and cells fluorescence decay studies of many types of cells and organelles Carcinogenesis-Mechanism Cations smaller than potassium are taken up sparingly, if at all, by cancer cells. The amount of calcium in cancer cells is about 1% that of normal cells. Potassium transports glucose into the cell while calcium transports oxygen. Thus glucose can easily enter cancer cells with Potassium, but Calcium and Oxygen cannot. This fits the anaerobic state of cancer cells found in the early 1920's by Dr. Otto Warburg. The similarity in the isotope effect for potassium, cesium and rubidium in cancer and embryonic cells and for the marked difference for calcium was investigated with mass spectrographic analyses, as well as fluorescence and phosphorescence decay patterns. M. Von Ardenne of Dresden, Germany, also studied cellular pH. Nuclear bio-physicist A. Keith Brewer, PhD. outlines the 4 steps of carcinogenesis: Disturbance of the cell membrane by carcinogens, energy disturbance and parasites: carcinogenic molecules attach to the membrane surface, disturbing activation of P=O (phosphorus double bond oxygen) radicals necessary for transport of oxygen by calcium ions. Carcinogens (mostly polycyclic toxins) interact with irritation of the membrane. When carcinogens attach to the membrane, glucose can enter but oxygen cannot, so the cell becomes anaerobic. The cell membrane can be disturbed by radiation (x-rays, alpha-, beta-, or gamma-rays, UV and EMF). This disturbance interferes with the excitability of P=O and prevents oxygen from entering the cell, though glucose, K, Rb and Cs may still enter. Emotional stresses also cause oxidative damage of the cell membrane from free radicals. These are the primary instigators of cancer and degenerative disease, allergy, autoimmune disease, multiple sclerosis, rheumatoid disease, immune suppression syndromes, most endocrine disease, including diabetes, hypothyroidism, and adrenal insufficiency, and others. 124 Glen Swartwout Intracellular acidosis from fermentation of glucose to lactic acid in the absence of oxygen. This causes cellular pH to drop from 7.3-7.2 down toward 6.5 and in more advanced stages of cancer and metastasis to 6.0 or even 5.7. DNA, RNA and amino acids in cancer cells lose positive and negative radical sequencing due to the acidic terrain. The control mechanisms dysregulate and cancer spreads in an acidic terrain as cell enzymes change structure and function. Chromosomal aberrations may also occur as an effect of the cancer terrain. Von Ardenne shows that lysosomal enzymes become very toxic, killing the cells in the center of the tumor. A tumor consists of a thin layer of rapidly growing cells surrounding the dead mass. High versus Low pH Therapy Low pH therapy of Von Ardenne and high pH therapy of Brewer are both effective against cancer in laboratory animals and humans. Low pH Therapy (for comparison only) Potassium and insulin are injected. Potassium transports glucose into the cells facilitated by the insulin. In cancer cells, the glucose ferments to lactic acid because calcium is unable to transport oxygen across the cancer cell membrane, thus the cancer cell pH drops to 4.5 to 5.5 enhanced by hyperthermia. (43 degrees C = 106 degrees F) for 1 to 6 hours. Diathermy is applied to the tumor so the temperature of the mass risees over 45 degrees C (109 degrees F). At these temperatures cancer cells live a very short life. The problem is that severe toxemia can result from leakage of lactic acidic and toxins from the tumor. High pH Therapy Rapid uptake of cesium, rubidium and to a lesser extent Germanium by cancer cells has been used as a therapy (Brewer, 1977) with: CsCl (Cesium Chloride) or Cs2CO3 (Cesium Carbonate) Vitamin C (ascorbic acid) Vitamin A (retinoic acid) Materia Medica Zinc Selenium Weak acids absorbed by tumor cells enhance the negative potential gradient across the membrane. Zinc and selenium absorbed on the membrane surface act as broad and moderately strong electron donors (antioxidants). These acids and minerals have been shown in mice to dramatically increase the uptake of cesium and rubidium ions. People with cancer take 6 to 9 gms of CsCl or Cs2CO3 for several days with good tolerance as they raise the pH in tumor cells to at least 8 where malignant cells die in hours or days. Cesium and rubidium also neutralize acidic and toxic material leaking from the tumor. Increased alkalinity also slows the aging process. Dr. A. Keith Brewer, PhD. started taking CsCl at age 87 and at 92 is much more vigorous than when he started. Tests of High pH Therapy with Mice & Men American University: Mice High pH therapy was first tested on mice at American University in Washington, D.C. 2 mm cubes of mammary tumors were implanted in the abdomen of mice and allowed to grow for 8 days. Mice were put in two groups. In addition to a normal diet, the test group was given oral supplementation of 1.11 mg. of rubidium carbonate in an aqueous solution. 13 days later, all mice were sacrificed and the tumors removed and weighed. The tumors in the test animals weighed only 9% of those in the controls. Test animals showed no adverse affects associated with most cancer treatments or cancer itself and no side effects from decaying tumor cells. University of Wisconsin, Platteville: Mice Similar results were obtained at the University of Wisconsin-Platteville with intra-peritoneal injection of cesium carbonate, vitamin A and zinc gluconate in mice with subcutaneous implants of colon carcinoma. 97% repression of tumor growth was observed (unpublished). Texas Tech University: Mice Intra-peritoneal injections of cesium chloride at Texas University, School of Medicine in Lubbock showed significant shrinkage of tumor masses in 98% of mice. Human-Clinical-Trials: 126 Glen Swartwout Many clinical trials on cancer patients by Dr. Hans Nieper in Germany and doctors in America have been successful. Cancer pain frequently disappears within two days. Tumor masses shrink rapidly. In most cases, 2 to 3 gms of CsCl were taken orally three times a day after meals. Supportive supplementation of about 5 to 50 gms of vitamin C, 100,000 to 300,000 units of vitamin A, 50 to 100 mgs of zinc, and 200 to 600 mcgs of selenium were also taken. Two side effects have been observed in some patients: nausea and diarrhea. Dr. Nieper claims the nausea can be relieved by giving cesium in a sorbitol solution. Balancing Cesium Therapy In the first 2 weeks there is an initial dramatic reduction of the tumor size and a tremendous improvement of the general well-being especially of dying, moribund or comatose patients. Thereafter, Dr. Sartori often sees slower progress. In this case, the Cs or Rb dosage as well as vitamins A, B6 or D must be stopped for a short time. Instead, they take vitamins E, B1, B2 and K, plus what Dr. Revici gives for an "off-balance D" (dysoxybiosis) or alkaline-catabolic pattern: lactic acid for pre-terminal and terminal cancer (organ and organism level) butanol and glycerol for painful cancer hetanol for the cellular level (invasive cancer). Monitoring urine pH and potassium levels could suggest a decrease of cesium dosage when urine pH rises above 7.0. A mild paresthesia (numbness) around the mouth also indicates the therapeutic dose is achieved. When the specific gravity of the urine goes below 1.015, the urine pH is 6.5 or above, total blood potassium (K) is 40 or above, (or 85 or above for RBC-K), there is an anabolic off-balance and the full dose of Cs or Rb and adjunctive nutrients can be resumed. You can eat a generous amount of yogurt or sauerkraut or sauerkraut juice if lactic acid is indicated. One patient took 30 ounces of yogurt and by the next morning all his symptoms were gone and he could continue the cesium. Materia Medica Butanol and Heptanol are effective in controlling the alkaline pattern pain in people with the off-balance D pattern. Butanol is a powerful anti-fibrinolytic agent especially useful for severe arterial hemorrhages. For oozing capillary, venous, and small arterial hemorrhages, fatty acids from cod liver oil are the treatment of choice. These daily amounts are usually divided into 3 doses: Cesium chloride 6 to 9 grams Vitamin A-Emulsion 100,000 to 300,000 U Vitamin C 4 to 30 grams Zinc 60 to 100 mg Selenium 60 to 1200 mcg Amygdalin 1500 to 3000 mg Diet is mainly whole grains, locally grown vegetables, linolenic acid-rich oils (linseed, walnut, soy, wheat germ) and a few supplemental foods. Circulation, oxygenation and treatment efficiency can be enhanced with EDTA, DMSA, DMSO (or MSM), vitamins, potassium and magnesium. The Cancer Personality Lawrence LeShan, PhD. reports that 96% of people with cancer have the same type of personality, which must change for permanent success. Geopathogenic Zones In the 1930's, the world-famous German surgeon Prof. Dr. Med. Ferdinand Sauerbruch told all his cancer patients never to return to their beds. For centuries, it is known that certain houses have a much higher incidence of cancer, arthritis, multiple sclerosis and other degenerative diseases. In the early 1970's Geo-pathogenic zones were identified as the cause. These may be caused by a conversion of the gravity field energy from radioactive radiation, electromagnetic phenomena near subterranean streams, high power lines, and color TV's. Geopathological zones can be detected by a dowser or Biofield Analysis. 128 Glen Swartwout In Germany it is medical malpractice if a cancer patient is not advised to evaluate his house and workplace, since 93% of cancer victims sleep in Geopathogenic zones. Only if the patient is removed from this zone does he/she have a good chance of permanent recovery in conjunction with diet, lifestyle, appropriate supplementation/medication and psychological modifications. For detailed information and support with both natural and man-made energy disturbances and removing energetic blocks to cure, see my book Electromagnetic Pollution Solutions. Low Incidence Cancer Areas There are a number of areas of the world where the incidence of cancer is very low. The 1978 Stockholm Conference on Food and Cancer concluded that in every case, the Cesium and Rubidium content is very high and the diet is high in vitamin C, vitamin A, Zinc and Selenium. Summary High pH therapy for cancer was determined theoretically from an extensive series of physical experiments carried out on cancer cells. Tests have also been carried out on both mice and humans and have shown the therapy to be effective. In these tests, the presence of cesium and rubidium salts in the adjacent fluids were believed to oxygenate the cell and raise the pH of the cancer cell to a higher pH value where cell mitosis ceased and the life of the cell was short. In addition, these salts could neutralize the acidic and toxic material normally formed in cancer cells. The observation that the incidences of cancer are very low in areas where the cesium and rubidium content of the food intake are high has led to an investigation of the quantity of cesium that would be required to prevent cancer. This dosage seems to be equivalent to 0.5 to 1.0 grams per day of either cesium or rubidium chloride. The therapeutic dose of cesium chloride or rubidium chloride for human adults is between 6 and 9 grams or 100 to 150 mg/kg for children. A mild paresthesia (numbness) around the mouth indicates that this therapeutic dose has been reached. Cancer cells have an abnormally low pH level (acidosis). The low pH results in the activation of enzymes, e.g. of oncogenic phosphatases, which increase malignant potential and aggressiveness of the cancer cell. The concept to inactivate H+ ions inside the tumor cells is therefore an elegant one. Materia Medica The eminent American physicist, A. Keith Brewer, PhD., found that cesium and rubidium are taken up by tumor cells and this leads to an increase of the tumor cell pH. These elements inactivate ionic hydrogen and reactivate oxygenation. The researchers Messiha and El Domeiri at the Texas Tech University Medical School at Lubbock have shown that cesium is most effective in the suppression and regression of Sarcoma-I in mice. The German scientist Hans Nieper has in the meantime shown that cesium chloride is effective in the management of most problematic tumors, e.g. of advanced bronchogenic carcinoma with bone metastization. For this kind of cancer, cesium seems to be the treatment of choice, even with relatively minor changes in lifestyle. The prevention and treatment of cancer by cesium is a very pragmatic and intelligent one. It is inexpensive and non-toxic over unlimited time. The application of pure urea, sulfurpeptide and Glutathione for the treatment of cancer seems to have functional similarity to the cesium therapy. Balancing the high pH therapy using concepts of E. Rivici helps maintain the effectiveness of the treatment in cases were a plateau of the cesium chloride effect is reached. For maximum effectiveness and lasting success of any metabolic nutritional cancer therapy it is absolutely necessary to affect significant changes in diet, lifestyle and habitat. This therapy is most effective combined with the patient's compliance with diet, supplementation and lifestyle changes and willingness and ability to make necessary psychological adjustments, and if necessary, change living quarters and work place. The problem is not so much just getting rid of cancer, but taking responsibility for health, working with the health practitioner and maintaining changes in diet and lifestyle for life. Otherwise, almost inexorably, another degenerative disease, if not cancer, comes up and shortens the lifespan. References: 1. Brewer, A. K. The mechanism of carcinogenesis: Comments on therapy. J Int Acad Prev Med 5: 29-53, 1979. 130 Glen Swartwout 2. Brewer, A. K. Cancer: Comments on the physics involved. Am Lab 5: 12-23. 1973. 3. Brewer, A. K., B. J. Clarke, M. Greenberg and N. Rothkopf. The effects of rubidium on mammary tumor growth in C57BL K/6J mice. Cytobios 24: 99-101, 1979. 4. Brewer, A. K. and R. Passwater. Physics of the cell membrane. I. The role of the double bond energy states. Am Lab 6: 59-72, 1974, 5. Brewer, A. K. and R. Passwater. Physics of the cell membrane. II. Fluorescence and phosphorescence in cell analysis. Am Lab 6: 19-29, 1974. 6. Brewer, A. K. and R. Passwater. Physics of the cell membrane. III. The mechanism of nerve action. Am Lab 6: 49-62, 1974. 7. Brewer, A. K. and R. Passwater. Physics of the cell membrane. IV. Further comments on the role of the double-bond. Am Lab 7: 41-50, 1975. 8. Brewer, A. K. and R. Passwater. Physics of the cell membrane. v. Mechanisms involved in cancer. Am Lab 8: 37-45, 1976. 9. Brewer, J. Isotopes of potassium. Ind Chem Eng 30: 893, 1938. 10. Brewer, J. Abundance of the isotopes of potassium in mineral and plant sources. J Am Chem Soc 58: 365-369, 1936. 11. Brewer, A. K. Man spectrographic analysis of the constancy of the atomic weight of potassium in ocean water. J Am Chem Soc 58: 370-375, 1936. 12. Brewer, A. K. Excitation of the hydrocarbon double bond. Am Sci 56: 259, 1968. 13. Brewer, A. K., S. Adelman, H. Hoerman and W. Sanborn. Differential identification of biological entities by phosphorescence decay. Nature 213: 718-719, 1976. 14. Brewer, A. K. and S. Adelman. Method for analysis and identification of biological entities by phosphorescence decay. U.S. Patent 3, 470, 373, 1969. 15. Brewer, A. K. Methods and means for the detection of microorganisms in the air. U.S. Patent 3, 566, 114, 1970. Materia Medica 16. Brewer, A. K. Chemical action in low volt arc. Physiol Rev 42: 785, 1932. 17. Calloway, D. R., R. D. Giaque and F. N. Costa. The superior mineral content of some American Indian food, in comparison to Federal donated counterpart commodities. Ecol Food Nutr 3: 203-210, 1974. 18. Editorial. Lancet 1: 1204, 1964. 19. Masco. H. L. U.S. Patent 3, 614, 242, 1972. 20. Messiha, F. S. The antidepressant action of cesium chloride and ethanol preference in rodents. In: Alcoholism: A Perspective. edited by F. S. Messiha and B. S. Tyner. New York: PJD Pub., 1980, pp. 247-259. 21. Messiha, F. S., A. El-Domeiri and H. F. Sproat. Effects of lithium and cesium salts on sarcoma-I implants in the mouse. Neurobehav Toxicol 1: 27-31, 1979. 22. Special report. Food and cancer. Nutr Rev 36: 313-314, 1978. 23. Von Ardenne M., P. G. Reitnauer and D. Schmidt. Theoretische Grundlagen und in vivo Messungen zur Optimierung der selekiven übersäurung von Krebsgewebe. Acta Biol Med Germ 22: 35-60, 1969. 24. Von Ardenne, M. Selective multiphase cancer therapy: Conceptual aspects and experimental basis. Adv Pharmacol Chemother 10: 339-380, 1972. 25. Von Ardenne, M. and A. Von Ardenne. Berechnung des pH-Profile im Interkapillarraum der Krebsgewebe für die Faelle mit und ohne Langzeit-Glucose- Infusion. Res Exp Med 171: 177-189, 1977. 26. Von Warburg, O. Metabolism of human tumor cells. Klin Wohnschr 4: 2396-2397, 1925. Information: http://www.cancer-coverup.com/story/default.html 132 Glen Swartwout Group II: Calcium Magnesium Magnesium is essential for bone, protein, and fatty acid formation, regeneration, activating B vitamins, relaxing muscles, clotting blood, and storing energy as ATP. The secretion and action of insulin also require magnesium. Magnesium is nature's calcium channel blocker. Magnesium can improve vision in people with glaucoma.1 Magnesium can also lower blood pressure. 2 Magnesium can reduce hyperactivity in children. 3 Some children with attention deficit-hyperactivity disorder (ADHD) have low levels of magnesium. In a control trial, 50 ADHD children with low magnesium in red blood cells, hair, and serum take 200 mg of magnesium per day for six months. 4 Comparison with 25 other magnesium-deficient ADHD children shows magnesium supplementation significantly decreases hyperactive behavior. Magnesium levels are low in chronic fatigue syndrome (CFS), 5 and magnesium injection improves symptoms. 6 Oral magnesium supplementation also improves symptoms in CFS patients with low magnesium, although magnesium injections are sometimes necessary. 7 Other research finds no magnesium deficiency in some people with CFS. 8 9 People with CFS considering magnesium supplementation should check magnesium status. People with diabetes tend to have low magnesium levels. 10 Supplementation repletes magnesium 11 and improves glucose tolerance in some diabetics. Magnesium can help bladder control and urgency in women. A double-blind trial finds women taking 350 mg of magnesium hydroxide (providing 147 mg elemental magnesium) twice daily for four weeks, have better bladder control and fewer symptoms than those taking a placebo. 12 Magnesium supplementation can reduce dehydration of red blood cells in sickle cell anemia patients. Six months of magnesium pidolate at 540 mg per day reverses some of the characteristic red blood cell abnormalities and dramatically reduces the number of painful days. 13 Materia Medica Sources: Nuts and grains are good sources. Beans, dark green vegetables, fish and meat also supply magnesium. The best absorbed form is Magnesium Glycinate, which does not loosen the stool. Another therapeutic form is Magnesium Taurate for the heart and retina. Well documented science-based uses: Cardiac arrhythmia Congestive heart failure Diabetes Gestational hypertension Kidney stones (citrate in combination with potassium citrate) Migraine headaches Mitral valve prolapse Other uses supported by science: ADHD Asthma Celiac disease (for deficiency only) Heart attack (IV magnesium immediately following a myocardial infarction) High blood pressure (for people taking potassium-depleting diuretics) Osteoporosis Premenstrual syndrome Urinary urgency (women) Traditional clinical uses also include: Alcohol withdrawal support Angina Anxiety Athletic performance Autism Chronic fatigue syndrome Chronic obstructive pulmonary disease (COPD) 134 Glen Swartwout Cluster headache (intravenous) Dysmenorrhea Fibromyalgia Glaucoma Heart attack (oral magnesium) High cholesterol Hypoglycemia Insomnia Insulin resistance syndrome (Syndrome X) Intermittent claudication Multiple sclerosis Preeclampsia Raynaud’s disease Retinopathy Sickle cell anemia Stroke Magnesium deficiency: Magnesium deficiency is common in people taking “ potassium -depleting” prescription diuretics . Taking too many laxatives can also lead to deficiency. Alcoholism , severe burns ,diabetes , and heart failure are other potential causes of deficiency. In a study of urban African-American people (predominantly female), the overall prevalence of magnesium deficiency was 20%. People with a history of alcoholism were six times more likely to have magnesium deficiency than were people without such a history. 14 The low magnesium status seen in alcoholics with liver cirrhosis contributes to the development of hypertension in these people. 15 Almost two-thirds of people in intensive care hospital units have been found to be magnesium deficient. 16 Deficiency may also occur in people with chronic diarrhea , pancreatitis, and other conditions associated with malabsorption . Fatigue, abnormal heart rhythms , muscle weakness and spasm, depression , loss of appetite, listlessness, and potassium depletion can all result from a magnesium deficiency. People with these symptoms should be evaluated by a doctor before taking magnesium supplements. Materia Medica Magnesium levels are low in chronic fatigue syndrome. Magnesium Malate is a preferred form. Deficiencies of magnesium that are serious enough to cause symptoms should be treated by medical doctors, as they might require intravenous administration of magnesium. 17 How much is usually taken? Most people don’t consume enough magnesium in their diets. Many nutritionally oriented doctors recommend 250-350 mg per day of supplemental magnesium for adults. Are there any side effects or interactions? Comments in this section are limited to effects from taking oral magnesium. Side effects from intravenous use of magnesium are not discussed. Taking too much magnesium often leads to diarrhea . For some people this can happen with amounts as low as 350-500 mg per day. More serious problems can develop with excessive magnesium intake from magnesium-containing laxatives. However, the amounts of magnesium found in nutritional supplements are unlikely to cause such problems. People with kidney disease should not take magnesium supplements without consulting a doctor. Vitamin B6 increases the amount of magnesium that can enter cells. As a result, these two nutrients are often taken together. Magnesium may compete for absorption with other minerals, particularly calcium . Taking a multimineral supplement avoids this potential problem. Magnesium deficiency (or overload) Muscle cramps & spasm (Magnesium overload can cause a loose stool; This effect is also triggered with poorly absorbed forms of Magnesium to osmotically pull water to loosen the stool) Anxiety Sensitivity to noise Lack of deep sleep Certain medications may interact with magnesium. Albuterol (Depletion or interference) Alendronate: Absorption of tiludronate, a drug related to alendronate, is reduced when taken with magnesium. 136 Glen Swartwout Amiloride (Adverse interaction) Amphotericin B (Depletion or interference) Azithromycin: A magnesium containing antacid interferes with azithromycin absorption. Take azithromycin two hours before or after any magnesium product, even though the effect may be from aluminum in the antacid. Cimetidine (Reduced drug absorption/bioavailability) Ciprofloxacin (Reduced drug absorption/bioavailability) Cisplatin (Depletion or interference) Oral Corticosteroids (Depletion or interference) Cycloserine (Depletion or interference) Cyclosporine (Depletion or interference) Digoxin (Depletion or interference) Docusate (Depletion or interference) Doxycycline (Reduced drug absorption/bioavailability) Epinephrine and other stress hormones can reduce intracellular magnesium. Ensure a high intake of vitamin C, potassium and magnesium. Erythromycin (Depletion or interference) Estrogens (Combined): osteoporotic postmenopausal women with elevated urinary zinc and magnesium excretion have less loss of these minerals when using conjugated estrogens and medroxyprogesterone. Famotidine: In healthy people, a magnesium hydroxide antacid taken with famotidine decreases famotidine absorption 20 to 25%. Take famotidine two hours before or after antacids or magnesium hydroxide supplements. Felodipine (Depletion or interference) Fentanyl (Supportive interaction) Gentamicin (Depletion or interference) Glimepiride (Supportive interaction) Glipizide: in poorly controlled type 2 diabetes with low blood magnesium, treatment with glipizide increases magnesium. In healthy people, 850 mg magnesium hydroxide increases glipizide absorption and activity. Consult with your practitioner before taking magnesium with Glipized. Materia Medica Hydroxychloroquine (Reduced drug absorption/bioavailability) Isoniazid (Depletion or interference) Levofloxacin (Reduced drug absorption/bioavailability) Loop Diuretics (Depletion or interference) Medroxyprogesterone: 37 postmenopausal women taking conjugate-estrogens and medroxyprogesterone for 12 months show better magnesium retention in those with osteoporosis and prior magnesium spilling. Metformin: in poorly controlled type 2 diabetes with low blood magnesium and high urine magnesium, metformin reduces urinary magnesium loss with no change in blood levels. Minocycline (Depletion or interference) Misoprostol (Adverse interaction) Mixed Amphetamines (Adverse interaction) Neomycin (Depletion or interference) Nitrofurantoin (Reduced drug absorption/bioavailability) Nizatidine: In healthy people, a magnesium hydroxide containing antacid taken with nizatidine, decreases nizatidine absorption by 12%. Take nizatidine two hours before or after magnesium hydroxide to avoid this minor effect. Ofloxacin (Reduced drug absorption/bioavailability) Oral Contraceptives (Depletion or interference) Quinidine (Side effect reduction/prevention) Risedronate (Reduced drug absorption/bioavailability) Sotalol (Side effect reduction/prevention) Spironolactone (Adverse interaction) Sulfamethoxazole (Depletion or interference) Tetracycline (Reduced drug absorption/bioavailability) Tetracyclines (Reduced drug absorption/bioavailability) Thiazide Diuretics (Depletion or interference) Tobramycin (Depletion or interference) Triamterene (Adverse interaction) Trimethoprim (Depletion or interference) Warfarin (Reduced drug absorption/bioavailability) 138 Glen Swartwout References: Gaspar AZ, Gasser P, Flammer J. The influence of magnesium on visual field and peripheral vasospasm in glaucoma. Ophthalmologica 1995;209:11-3. Kawano Y, Matsuoka H, Takishita S, Omae T. Effects of magnesium supplementation in hypertensive patients. Hypertension 1998;32:260-5. Starobrat-Hermelin B, Kozielec T. The effects of magnesium physiological supplementation on hyperactivity in children with attention deficit hyperactivity disorder (ADHD). Positive response to magnesium oral loading test. Magnes Res 1997;10:149-56. Starobrat-Hermelin B, Kozielec T. The effects of magnesium physiological supplementation on hyperactivity in children with attention deficit hyperactivity disorder (ADHD). Positive response to magnesium oral loading test. Magnes Res 1997;10:149-56. Moorkens G, Manuel y Keenoy B, Vertommen J, et al. Magnesium deficit in a sample of the Belgian population presenting with chronic fatigue. Magnes Res 1997;10:329-37. Cox IM, Campbell MJ, Dowson D. Red blood cell magnesium and chronic fatigue syndrome. Lancet 1991;337:757-60. Howard JM, Davies S, Hunnisett A. Magnesium and chronic fatigue syndrome. Lancet 1992;340:426. Gantz NM. Magnesium and chronic fatigue. Lancet 1991;338:66 [letter]. Hinds G, Bell NP, McMaster D, McCluskey DR. Normal red cell magnesium concentrations and magnesium loading tests in patients with chronic fatigue syndrome. Ann Clin Biochem 1994;31(Pt 5):45961. Paolisso G, Scheen A, D’Onofrio FD, Lefebvre P. Magnesium and glucose homeostasis. Diabetologia 1990;33:511-4 [review]. Eibl NL, Schnack CJ, Kopp H-P, et al. Hypomagnesemia in type II diabetes: effect of a 3-month replacement therapy. Diabetes Care 1995;18:188. Materia Medica Gordon D, Groutz A, Ascher-Landsberg J, et al. Double-blind, placebo-controlled study of magnesium hydroxide for treatment of sensory urgency and detrusor instability: preliminary results. Br J Obstet Gynaecol 1998;105:667-9. De Franceschi L, Bachir D, Galacteros F, et al. Oral magnesium pidolate: effects of long-term administration in patients with sickle cell disease. Br J Haematol 2000 Feb;108:284-9. Fox CH, Ramsoomair D, Mahoney MC, et al. An investigation of hypomagnesemia among ambulatory urban African Americans. J Fam Pract 1999;48:636-9. Kisters K, Schodjaian K, Tokmak F, et al. Effect of ethanol on blood pressure—role of magnesium. Am J Hypertens 2000;13:455-6 [letter]. Weisinger JR, Bellorin-font E. Magnesium and phosphorus. Lancet 1998;352:391-6 [review]. Weisinger JR, Bellorin-font E. Magnesium and phosphorus. Lancet 1998;352:391-6 [review]. Calcium Calcium is the most abundant mineral in the human body. Of 2 or 3 pounds of calcium in the body, 99% forms bones and teeth. Calcium is essential for blood clotting, transmission of nerve signals, and muscle contraction. Calcium plays a minor role in lowering blood pressure. 1 The level of calcium in the blood is regulated by parathyroid hormone (PTH), and low intake of calcium causes elevations in PTH, which in turn can cause hypertension. 2 High calcium intake reduces risk of cardiovascular disease in postmenopausal women. 3 By reducing absorption of oxalate, 4 calcium may reduce risk of kidney stones. 5 People with a history of kidney stones should talk with their health practitioner before supplementing calcium as it may increase risk of stones for a few people who absorb too much calcium. Calcium partially binds some fats and cholesterol in the gastrointestinal tract. Some research finds that calcium supplements may lower cholesterol. 6 Animal studies shows calcium helps develop female egg cells (oocytes). 7 8 Some researchers speculate that calcium could help polycystic ovary syndrome (PCOS). 9 140 Glen Swartwout Calcium may have anticancer activity in the colon. Most studies show high calcium diets reduce colon cancer risk. 10 Most 11 12 13 but not all 14 studies find calcium supplements reduce risk of colon cancer or precancer. One study reports that high dietary, but not supplemental, calcium intake decreases risk of precancerous changes in the colon. 15 In double-blind studies, calcium supplementation protects against precancerous changes in the colon in some 16 17 but not all studies. 18 19 Sources: Most dietary calcium comes from dairy products . The myth that calcium from dairy products is not absorbed is not supported by scientific research. 20 21 Other sources include sardines, canned salmon, green leafy vegetables and tofu. Choosing a form of calcium supplement can be confusing. While fewer pills of the calcium carbonate form are needed, some people may not absorb this form of calcium as well as some other forms. Most, 22 23 but not all, 24 studies suggest that calcium citrate is better absorbed than calcium carbonate. Virtually all comparative studies find that calcium citrate/malate (CCM) is absorbed better than calcium carbonate. CCM is increasingly the form of calcium recommended by doctors. Microcrystalline hydroxyapatite (MCHC), a variation on the bone meal form of calcium, has been shown to improve bone mass, 25 even though the absorption of MCHC is fairly low 26 27 perhaps because MCHC doubles absorption of dietary calcium by stimulating active uptake in the small intestine. Only preliminary research exists on amino acid chelates of calcium. Documented uses: Gestational hypertension Lactose intolerance (for preventing deficiency if dairy products are avoided only) Osteoporosis Preeclampsia (for deficiency) Premenstrual syndrome Rickets Science supported uses: Celiac disease (for deficiency only) High blood pressure High cholesterol High triglycerides Materia Medica Traditional clinical uses: Amenorrhea (calcium for preventing bone loss) Colon cancer (reduces risk) Depression Dysmenorrhea (painful menstruation) Gingivitis (periodontal disease) Insulin resistance syndrome (Syndrome X) Kidney stones Migraine headaches Multiple sclerosis Pregnancy and postpartum support Warning: Calcium supplements should be avoided by prostate cancer patients. Deficiency: Severe deficiency of either calcium or vitamin D leads to a condition called rickets in children and osteomalacia in adults. Since vitamin D is required for calcium absorption, people with conditions causing vitamin D deficiency (e.g., pancreatic insufficiency) may develop a deficiency of calcium as well. Vegans (pure vegetarians ), people with dark skin, those who live in northern climates, and people who stay indoors almost all the time are more likely to be vitamin D deficient, than are other people. Vegans often eat less calcium and vitamin D than do other people. Most people eat well below the recommended amount of calcium. This lack of dietary calcium is thought to contribute to the risk of osteoporosis , particularly in white and Asian women. Calcium or Vitamin D deficiency (or Calcium excess): Bone fractures (Calcium excess or mishandling can cause calcification of soft tissues) Rickets (Calcium excess or mishandling can cause muscle spasms) Osteomalacia Dosage: The National Academy of Sciences has established guidelines for calcium that are 25-50% higher than previous recommendations. For ages 19 to 50, calcium intake is recommended to be 1,000 mg daily; for adults over age 51, the recommendation is 1,200 mg daily. 28 The most common supplemental amount for adults is 800-1,000 mg per day. 29 General recommendations for higher daily intakes (1,200-1,500 mg) 142 Glen Swartwout usually include the calcium most people consume from their diets. Studies indicate the average daily amount of calcium consumed by Americans is about 500-1,000 mg. Are there any side effects or interactions? Constipation , bloating, and gas are sometimes reported with the use of calcium supplements. 30 A very high intake of calcium from dairy products plus supplemental calcium carbonate was reported in the past to cause a condition called “milk alkali syndrome.” This toxicity is rarely reported today because most medical doctors no longer tell people with ulcers to use this approach as treatment for their condition. People with hyperparathyroidism, chronic kidney disease, or kidney stones should not supplement with calcium without consulting a physician. For other adults, the highest amount typically suggested by doctors (1,200 mg per day) is considered quite safe. In the past, calcium supplements in the forms of bone meal (including MCHC), dolomite, and oyster shell have sometimes had higher lead levels than permitted by stringent California regulations, though generally less than the levels set by the federal government. 31 “Refined” forms (which would include CCM, calcium citrate, and most calcium carbonate) have low levels. 32 More recently, a survey of over-the-counter calcium supplements found low or undetectable levels of lead in most products, 33 representing a sharp decline in lead content of calcium supplements since 1993. People who decide to take bone meal, dolomite, or oyster shell calcium for long periods of time can contact the supplying supplement company to request independent laboratory analysis showing minimal lead levels. Calcium competes for absorption with a number of other minerals. Therefore, people taking calcium for more than a few weeks should also take a multimineral supplement. Vitamin D’s most important role is maintaining blood levels of calcium. Therefore, many doctors recommend that those supplementing with calcium also supplement with 400 IU of vitamin D per day. Animal studies have shown that essential fatty acids (EFAs) increase calcium absorption from the gut, in part by enhancing the effects of vitamin D and reducing loss of calcium in the urine. 34 Lysine supplementation increases the absorption of calcium and may reduce its excretion. 35 As a result, some researchers believe that lysine may eventually be shown to have a role in the prevention and treatment of osteoporosis. 36 Materia Medica Medication interactions: Albuterol (Depletion or interference) Alendronate: Calcium supplements may interfere with absorption, but one researcher suggests that large doses of calcium in bone metastases (with evidence of osteomalacia) related to prostate cancer may improve clinical outcome. Calcium and alendronate are commonly used simultaneously for osteoporosis. Take alendronate two hours before or after calcium. Aluminum Hydroxide (Depletion or interference) Anticonvulsants (Depletion or interference) Bile Acid Sequestrants (Depletion or interference) Caffeine (Depletion or interference) Calcitonin (Supportive interaction) Calcium Acetate (Adverse interaction) Ciprofloxacin (Reduced drug absorption/bioavailability) Cisplatin (Depletion or interference) Colestipol (Depletion or interference) Inhaled Corticosteroids (Depletion or interference) Oral Corticosteroids (Depletion or interference) Cycloserine (Depletion or interference) Diclofenac (Depletion or interference) Doxycycline (Reduced drug absorption/bioavailability) Erythromycin may interfere with absorption and/or activity of calcium. If taking erythromycin longer than two weeks, supplement with a multivitamin-mineral. Estrogens (Combined) (Supportive interaction) Felodipine (Depletion or interference) Flurbiprofen (Depletion or interference) Gabapentin (Depletion or interference) Gentamicin (Depletion or interference) Hydroxychloroquine (Depletion or interference) Indapamide (Depletion or interference) 144 Glen Swartwout Indomethacin (Depletion or interference) Isoniazid (Depletion or interference) Lactase: Lactase-deficient people may not consume dairy products as a source of calcium. Lactase allows lactase-deficient people to digest milk sugar. The calcium requirement is reduced by about half where dairy is not eaten. Metformin (Side effect reduction/prevention) Mineral Oil (Depletion or interference) Minocycline (Depletion or interference) Nadolol (Reduced drug absorption/bioavailability) Neomycin (Depletion or interference) Ofloxacin (Reduced drug absorption/bioavailability) Oral Contraceptives may increase absorption of calcium Phenobarbital (Depletion or interference) Risedronate (Depletion or interference) Rofecoxib (Reduced drug absorption/bioavailability) Sodium Fluoride: calcium from leg bones may transfer to the spine causing stress fractures when fluoride is taken. Supplementing with 1,500 mg of calcium each day together with slow-release forms of fluoride increases the bone density of the lumbar spine without causing fractures. People taking sodium fluoride to treat osteoporosis should supplement with calcium. Taking fluoride and calcium at the same time reduces absorption of fluoride, so they should be taken at least an hour apart. Sotalol (Reduced drug absorption/bioavailability) Sucralfate (Depletion or interference) Sulfamethoxazole (Depletion or interference) Tetracycline (Reduced drug absorption/bioavailability) Tetracyclines (Reduced drug absorption/bioavailability) Thiazide Diuretics decrease calcium loss in the urine. Thyroid Hormones (Depletion or interference) Tobramycin (Depletion or interference) Triamterene (Depletion or interference) Trimethoprim (Depletion or interference) Materia Medica Valproic Acid (Depletion or interference) Verapamil (Adverse interaction) References: 1. Osborne CG, McTyre RB, Dudek J, et al. Evidence for the relationship of calcium to blood pressure. Nutr Rev 1996;54:365-81. 2. Jorde R, Sundsfjord J, Haug E, Bønaa KH. Relation between low calcium intake, parathyroid hormone, and blood pressure. Hypertension 2000;35:1154-9. 3. Bostick RM, Kushi LH, Wu Y, et al. Relation of calcium, vitamin D, and dairy food intake to ischemic heart disease mortality among postmenopausal women. Am J Epidemiol 1999;149:151-61. 4. Barilla DE, Notz C, Kennedy D, Pak CYC. Renal oxalate excretion following oral oxalate loads in patients with ileal disease and with renal and absorptive hypercalciurias: effect of calcium and magnesium. Am J Med 1978;64:579-85. 5. Curhan GC, Willett WC, Rimm EB, Stampfer MJ. A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. N Engl J Med 1993;328:833-83. 6. Bell L, Halstenson CE, Halstenson CJ, et al. Cholesterol-lowering effects of calcium carbonate in patients with mild to moderate hypercholesterolemia. Arch Intern Med 1992;152:2441-4. 7. Homa ST, Carroll J, Swann K. The role of calcium in mammalian oocyte maturation and egg activation. Hum Reprod 1993;8:1274-81. 8. Kaufman M, Homa ST. Defining a role for calcium in the resumption and progression of meiosis in the pig oocyte. J Exp Zool 1993;265:69-76. 9. Thys-Jacobs S, Donovan D, Papadopoulos A, et al. Vitamin D and calcium dysregulation in the polycystic ovarian syndrome. Steroids 1999;64:430-5. 10. Lipkin M, Newmark H. 1995;22:65-73 [review]. 146 Calcium and the prevention of colon cancer. J Cell Biochem Suppl Glen Swartwout 11. Whelan RL, Horvath KD, Gleason NR, et al. Vitamin and calcium supplement use is associated with decreased adenoma recurrence in patients with a previous history of neoplasia. Dis Colon Rectum 1999;42:212-7. 12. White E, Shannon JS, Patterson RE. Relationship between vitamin and calcium supplement use and colon cancer. Cancer Epidemiol Biomarkers Prev 1997;6:769-74. 13. Kampman E, Slattery ML, Caan B, Potter JD. Calcium, vitamin D, sunshine exposure, dairy products and colon cancer risk (United States). Cancer Causes Control 2000;11:459-66. 14. Neugut AI, Horvath K, Whelan RL, et al. The effect of calcium and vitamin supplements on the incidence and recurrence of colorectal adenomatous polyps. Cancer 1996;78:723-8. 15. Hyman J, Baron JA, Dain BJ, et al. Dietary and supplemental calcium and the recurrence of colorectal adenomas. Cancer Epidemiol Biomarkers Prev 1998;7:291-5. 16. Baron JA, Beach M, Mandel JS, et al. Calcium supplements for the prevention of colorectal adenomas. N Engl J Med 1999;340:101-7. 17. Bostick RM, Fosdick L, Wood JR, et al. Calcium and colorectal epithelial cell proliferation in sporadic adenoma patients: a randomized, double-blinded, placebo-controlled clinical trial. J Natl Cancer Inst 1995;87:1307-15. 18. Cats A, Kleibeuker JH, van der Meer R, et al. Randomized, double-blinded, placebo-controlled intervention study with supplemental calcium in families with hereditary nonpolyposis colorectal cancer. J Natl Cancer Inst 1995;87:598-603. 19. Baron JA, Tosteson TD, Wargovich MJ, et al. Calcium supplementation and rectal mucosal proliferation: a randomized controlled trial. J Natl Cancer Inst 1995;87:1303-7. 20. Sheikh MS, Santa Ana CA, Nicar MJ, et al. Gastrointestinal absorption of calcium from milk and calcium salts. N Engl J Med 1987;317:532-6. 21. Levenson DI, Bockman RS. A review of calcium preparations. Nutr Rev 1994;52:221-32 [review]. 22. Nicar MJ, Pak CYC. Calcium bioavailability from calcium carbonate and calcium citrate. J Clin Endocrinol Metabol 1985;61:391-3. Materia Medica 23. Harvey JA, Kenny P, Poindexter J, Pak CYC. Superior calcium absorption from calcium citrate than calcium carbonate using external forearm counting. J Am Coll Nutr 1990;9:583-7. 24. Sheikh MS, Santa Ana CA, Nicar MJ, et al. Gastrointestinal absorption of calcium from milk and calcium salts. N Engl J Med 1987;317:532-6. 25. Epstein O, Kato Y, Dick R, Sherlock S. Vitamin D, hydroxyapatite, and calcium gluconate in treatment of cortical bone thinning in postmenopausal women with primary biliary cirrhosis. Am J Clin Nutr 1982;36:426-30. 26. Heaney RP, Recker RR, Weaver CM. Absorbability of calcium sources: the limited role of solubility. Calcif Tissue Int 1990;46:300-4. 27. Deroisy R, Zartarian M, Meurmans L, et al. Acute changes in serum calcium and parathyroid hormone circulating levels induced by the oral intake of five currently available calcium salts in healthy male volunteers. Clin Rheumatol 1997;16:249-53. 28. Standing Committee on the Scientific Evaluation of Dietary Reference Intakes, Food and Nutrition Board, Institute of Medicine. Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D and fluoride. Washington DC: National Academy Press, 1997, 108-17 [review]. 29. Heaney RP, Recker RR, Weaver CM. Absorbability of calcium sources: the limited role of solubility. Calcif Tissue Int 1990;46:300-4. 30. Levenson DI, Bockman RS. A review of calcium preparations. Nutr Rev 1994;52:221-32 [review]. 31. Burros M. Testing calcium supplements for lead. New York Times June 4, 1997, B7. 32. Bourgoin BP, Evans DR, Cornett JR, et al. Lead content in 70 brands of dietary calcium supplements. Am J Public Health 1993;83:1155-60. 33. Ross EA, Szabo NJ, Tebbett IR. Lead content of calcium supplements. JAMA 2000;284:1425-9. 34. Kruger MC, Horrobin DF. Calcium metabolism, osteoporosis and essential fatty acids: a review. Prog Lipid Res 1997;36:131-51 [review]. 35. Civitelli R, Villareal DT, Agnusdei D, et al. Dietary L-lysine and calcium metabolism in humans. Nutrition 1992;8:400-5. 148 Glen Swartwout 36. Flodin NW. The metabolic roles; pharmacology, and toxicology of lysine. J Am Coll Nutr 1997;16:721 [review]. Microcrystalline Hydroxyapatite (MCHA): Double Calcium Absorption & Increase Bone Density MCHA Calcium is the only form of Calcium supplement that turns on the active absorption pathway for Calcium, doubling absorption for dietary as well as supplemental Calcium in the associated meal. Structural Integrity utilizes the most bioavailable form of calcium, Microcrystalline Hydroxyapatite Calcium (MCHC), plus the needed minerals and cofactors to support the bone matrix. MCHC is the ultimate calcium, made from life-source, organic calcium in its natural protein matrix from young, organically raised bovine-source raw bone. The complete protein matrix provides a nutritional source of the specific proteins needed for bone growth and repair, while increasing the surface area from which all the necessary boneforming minerals are released. Additional fortification with boron further strengthens the new bone tissue. Studies have shown that this form of calcium is superior to traditional calcium supplements. A study done with patients experiencing bone loss has shown an increase of 6.1% in cortical, or outer layer, bone density. The use of this form of calcium along with other forms will actually double the amount of calcium that is absorbed by stimulating the active absorption of calcium. Here are some selected quotations on MCHC from peer reviewed clinical journals: “Hydroxyapatite promotes positive cortical bone balance.”1 “Microcrystalline Hydroxyapetite compound did restore bone."2 “It was found that the whole-bone extract (Microcrystalline Hydroxyapatite) significantly increased absorption of the tracer suggesting that it is a valuable medium for calcium administration in metabolic bone disease.”3 “The results indicate that, with Microcrystalline Hydroxyapatite therapy, dramatic reductions in the symptoms (skeletal pain) in patients developing osteoporosis due to long term corticosteroid [e.g. cortisone, prednisone, etc.] treatment are associated with favorable biochemical and bone changes...”4 Materia Medica “The present results show that Microcrystalline Hydroxyapatite alone may be effective in reducing bone loss and possibly also in preventing fractures in patients with chronic active Hepatitis on long-term corticosteroid therapy.”5 “The results of this trial suggest that Microcrystalline Hydroxyapatite has a significant prophylactic effect in preventing the development of osteoporosis in corticosteroid treated rheumatoid patients.”6 In addition to all the naturally ocurring accompanying macro and trace minerals, such as magnesium, zinc, iron, potassium, silicon and manganese in the exact ratio needed for bone formation, each tablet of Structural Integrity supplies: Component, Quantity and Notes: Boron 0.75 mg as Amino acid chelate to strengthen bone tissue Calcium 250 mg, including 500 mg Microcrystalline Hydroxyapatite Copper 0.5 mg as Amino acid chelate Magnesium 125 mg from Magnesium oxide Manganese 1.75 mg as Amino acid chelate Phosphorus 125 mg as Microcrystalline Hydroxyapatite (ensuring an alkaline mineral to acid-forming phosphorus ratio of over 3:1) Protein Collagen, glycosaminoglycans (GAGs) & amino acids to form new bone matrix Vitamin D 50 IU as cholecalciferol One mineral that Structural Integrity does not supply is lead. In fact, even before the study came out a few years ago showing that over 80% of calcium supplements contain lead, every batch of Structural Integrity was already being assayed for lead to assure you of the best possible results. In addition to supplementation with Structural Integrity, consider these OTC hormone supplements for the support of accelerated bone density restoration: Pregnenolone (tablets) DHEA (capsules) 7-Keto DHEA (capsules) and/or Progesterone (as Progest E Complex sublingual drops). 150 Glen Swartwout 1 Epstein O, Kato Y, Dick R, Sherlock S. Vitamin D, Hydroxyapatite and Calcium Gluconate in Treatment of Cortical Bone Thinning in Postmenopausal Women with Primary Biliary Cirrhosis, American Journal of Clinical Nutrition 1982; 36 426. 2 Dixon A S J. Non-Hormonal Treatment of Osteoporosis. British Medical Journal 1983; 286; 999. 3 Windsor A C M, Miscra D P, Loudon J M, Staddon C E. The Effect of Whole-Bone Extract on 47CA Absorption in the Elderly. Age and Aging 1987; 2; 230. 4 Pines A, Rasist H, Lynn A H, Whittington J. Clinical Trial of Microcrystalline Hydroxyapatite Compound in the Prevention of Osteoporosis Due to Corticosteroid Therapy. Current Medical Research and Opinion 1984; 8; 734. 5 Stellon A, Webb A, Williams R. Microcrystalline Hydroxyapatite in Prevention of Bone Loss in Corticosteroid Treated Patients with Chronic Active Hepatitis. Postgraduate Medical Journal 1985; 61; 791. 6 Nileen E M, Hayson M I V, Dixon A S J. Microcrystalline Hydroxyapatite Compound in Corticosteroid Treated Rheumatoid Patients; A Controlled Study. British Medical Journal 1978; 2; 1124.1 Epstein O, Kato Y, Dick R, Sherlock S. Vitamin D, Hydroxyapatite, and Calcium Gluconate in Treatment of Cortical Bone Thinning in Postmenopausal Women with Primary Biliary Cirrhosis, American Journal of Clinical Nutrition 1982; 36 426. Group III: Aluminum Aluminum is present in abundance, for example as Aluminum Oxide in clay, and metallic Aluminum follows the same elimination pathway as the heavy metals. A high exposure to metallic Aluminum stresses the body's ability to eliminate all the heavy metals, and conversely, a heavy metal toxicity can result in backing up the ability to eliminate the abundant Aluminum we are exposed to. In its oxidized form as clay, Alum absorbs toxins rather than being absorbed into the body. Group IV: Carbon Carbon is the backbone of organic chemistry, the foundation of our soul's carbon-copy bio-body suit. Materia Medica Group V: Nitrogen Nitrogen is the key element in all amino acids and the proteins that they make up including digestive enzymes, metabolic cellular enzymes and structural proteins that are linked to memory. Many neurotransmitters are also based on amino acids. Group VI: Oxygen Oxygen is our most acutely essential element for maintaining our biological life form. Oxygen is paramagnetic, as are the spirit minerals of the conscious body. The two may associate by affinity, though the spirit minerals are Dark Matter, and thus most challenging to detect and measure with our current level of technology. A Russian patented laboratory method has been replicated in America at one time. Without Oxygen, the spirit leaves the organic body within a few minutes. The resulting Near Death Experiences, as well as other Out of Body Experiences, have strong patterns that are independent of belief and culture. Group VII: Halogens Halogens, other than Iodine, are highly reactive and mostly toxic. Iodine is essential for Thyroid function. Chloride, such as from lemon juice, is used to make stomach acid, hydrochloric acid. The blood pressure and other adverse effects of salt (Sodium Chloride) are due to Chloride rather than Sodium, as shown by Japanese studies with Chitosan. The greatest exposure to deadly Chlorine gas is when taking a shower in unfiltered water. Chlorine and Fluorine are salient components of most general anesthetics. Water fluoridation was first used in concentration camps in Stalinist Russia and Nazi Germany to make prisoners more docile. Group 0: Noble Gases The Noble gases are generally considered chemically inert. Their outer electron shell is full and therefore relatively stable. The spirit minerals are also relatively inert gases, as condensate forms of the Transition Elements. 152 Glen Swartwout Transition Elements Among the Transition Elements, the Platinum/Palladium Group, are the spirit minerals when in their nonmetallic high spin condensate form. Group Ib: Copper Copper is essential in balance with Zinc. Copper is a cofactor for the body's key anti-oxidant enzyme Superoxide Dysmutase. Excess Copper can easily become toxic, promoting oxidation and aging. In OligoElement trace mineral therapy, Zinc and Copper are used for Phase 5 and Endocrine stresses. Copper is a key part of the antioxidant enzyme, superoxide dismutase (SOD). Copper supplementation has been shown to increase SOD levels in humans. 1 Copper is needed to make adenosine triphosphate (ATP). Synthesis of some hormones requires copper, as does the synthesis of collagen (the “glue” that holds connective tissue together). The enzyme, tyrosinase, involved in production of melanin, uses copper. Copper is also essential for absorption and utilization of iron. Sources: The most concentrated source of copper is oysters. Other sources include nuts, legumes, cereals, potato, vegetables and meats. Scientifically supported uses: High cholesterol Menkes’ disease (injectable copper histidine) Osteoporosis Wound healing Traditional clinical uses: Athletic performance Benign prostatic hyperplasia Cardiac arrhythmia Hypoglycemia Peripheral vascular disease Materia Medica Rheumatoid arthritis Sprains and strains Oligo element uses: Anemia Infection: otitis, rhinitis, bronchitis, abscess Influenza: prevention and treatment Deficiency: Many people consume slightly less than the “safe and adequate range” of copper, 1.5–3.0 mg per day. Little is known about the clinical effects of these marginally adequate intakes, though frank copper deficiency is uncommon. Children with Menkes’ disease are unable to absorb copper normally and become severely deficient unless medically treated early in life. Deficiency can also occur in people who supplement with zinc without also increasing copper intake. Zinc interferes with copper absorption. 2Health consequences of zinc-induced copper deficiency can be quite serious. 3 In the absence of copper supplementation, vitamin C supplementation has also been reported to mildly impair copper metabolism. 4 Copper deficiency can result in anemia, lower levels of beneficial HDL, or cardiac arrhythmias. Dosage: Most people consume less than the recommended amount of this mineral. Some doctors recommend supplementing the average diet with 1–3 mg of copper per day. While the necessity of supplementing a normal diet with copper has not been proven, most people who take zinc supplements, including the zinc found in multivitamin-mineral supplements , should probably take additional copper. Cupric oxide (CuO) is a form of copper frequently used in vitamin-mineral supplements sold over-thecounter. However, animal studies have shown conclusively this form of copper is poorly absorbed from the gut; it should therefore not be used in supplements. 5678Several other forms of copper (including copper sulfate, cupric acetate, and alkaline copper carbonate) are better absorbed, and are therefore preferable to cupric oxide. 9 Are there any side effects or interactions? The level at which copper causes problems is unclear. But in combination with zinc , up to 3 mg per day is considered safe. People drinking tap water from new copper pipes should consult their doctor before supplementing, since they might be getting enough (or even too much) copper from their water. People with Wilson’s disease should never take copper. 154 Glen Swartwout Zinc interferes with copper absorption. People taking zinc supplements for more than a few weeks should also take copper (unless they have Wilson’s disease). In the absence of copper supplementation, vitamin C may interfere with copper metabolism. Copper improves absorption and utilization of iron . Preliminary evidence shows that the levels of copper in the blood were higher among people who died from coronary heart disease than among those who did not. 10 However, animals studies and some human studies suggest that, if anything, copper may prevent the development of heart disease. Although it is not clear why people who died of heart disease had elevated copper levels, this finding could be due to chronic inflammation, which is known to be associated with increased copper levels. 11 Certain medications may interact with copper: AZT (Depletion or interference) Ciprofloxacin (Reduced drug absorption/bioavailability) Etodolac (Side effect reduction/prevention) Famotidine: Long-term use of H-2 blockers may cause deficiency, since copper needs stomach acid for optimal absorption. Ibuprofen (Side effect reduction/prevention) Nabumetone (Side effect reduction/prevention) Nizatidine: Long-term use of H-2 blockers may cause deficiency, since copper needs stomach acid for optimal absorption. Oral Contraceptives increase absorption and blood levels of copper Oxaprozin (Side effect reduction/prevention) Penicillamine reduces toxic copper deposits in people with Wilson’s disease. Copper supplementation aggravates Wilson’s disease. Valproic Acid (Depletion or interference) References: Jones AA, DiSilvestro RA, Coleman M, Wagner TL. Copper supplementation of adult men: effects on blood copper enzyme activities and indicators of cardiovascular disease risk. Metabolism 1997;46:1380–3. Sandstead HH. Requirements and toxicity of essential trace elements, illustrated by zinc and copper. Am J Clin Nutr 1995;61(suppl):62S–4S. Materia Medica Broun ER. Greist A, Tricot G, Hoffman R. Excessive zinc ingestion. A reversible cause of sideroblastic anemia and bone marrow depression. JAMA 1990;264:1441–3. Jacob RA, Skala JH, Omaye ST, Turnlund JR. Effect of varying ascorbic acid intakes on copper absorption and ceruloplasmin levels of young men. J Nutr 1987;117:2109–15. Aoyogi S, Baker DH. Bioavailability of copper in analytical-grade and feed-grade inorganic copper sources when fed to provide copper at levels below the chicks requirement. Poult Sci 1993;72:1075–83. Baker DH, Odle J, Funk MA, Wieland TM. Bioavailability of copper in cupric oxide, cuprous oxide and in a copper-lysine complex. Poult Sci 1991;70:177–9. Cromwell GL, Stahly TS, Moneque HJ. Effects of source and level of copper on performance and liver copper stores in weanling pigs. J Anim Sci 1989;67:2996–3002. Ledoux DR, Henry PR, Ammerman CB, et al. Estimation of the relative bioavailability of inorganic copper sources for chicks using tissue uptake of copper. J Anim Sci 1991;69:215–22. Baker DH. Cupric oxide should not be used as a copper supplement for either animals or humans. J Nutr 1999;129:2278–9. Ford ES. Serum copper concentration and coronary heart disease among US adults. Am J Epidemiol 2000;151:1182–8. Youssef A, Wood B, Baron DN. Serum copper: a marker of disease activity in rheumatoid arthritis. J Clin Pathol 1983;36:14–17. Group IIb: Zinc Zinc is essential in balance with Copper, so any long term Zinc supplementation should have a balance of Copper included unless Copper toxicity is demonstrated. Zinc is necessary for all the special senses. Zinc deficiency can result in craving salty and spicy foods due to the reduction in taste function. In OligoElement trace mineral therapy Zinc Copper, and Zinc Nickel Cobalt combinations are used for Phase 5 and Endocrine stress issues. 156 Glen Swartwout Zinc is a component of more than 300 enzymes needed to repair wounds, maintain fertility in adults and growth in children, synthesize protein, help cells reproduce, preserve vision, boost immunity, and protect against free radicals, among other functions. Well documented uses: Acne Acrodermatitis enteropathica Common cold/sore throat (as lozenge) Infertility (male) (for deficiency) Night blindness (for deficiency) Wilson’s disease Wound healing (oral and topical) Additional science-supported uses: Anorexia nervosa Birth defects prevention Canker sores (for deficiency only) Celiac disease (for deficiency) Cold sores (topical) Common cold (as nasal spray) Crohn’s disease Diabetes (preferably for those with a documented deficiency) Genital herpes Gingivitis (zinc plus bloodroot toothpaste) Halitosis (zinc chloride rinse or toothpaste) HIV support Immune function (for elderly people) Infection Liver cirrhosis (for deficiency) Macular degeneration Peptic ulcer Pregnancy support Materia Medica Sickle cell anemia Skin ulcers (oral and topical zinc) Sprains and strains (if deficient) Tinnitus (for deficiency only) Other traditional clinical uses: Amenorrhea Athletic performance Benign prostatic hyperplasia (BPH) Contact dermatitis Cystic fibrosis Dermatitis herpetiformis (for deficiency) Diarrhea Down’s syndrome Ear infections (recurrent) Gastritis Gestational hypertension Hypoglycemia Hypothyroidism Immune function (for non-elderly people) Insulin resistance syndrome (Syndrome X) Osgood-Schlatter Disease Osteoarthritis (in combination with boswellia, ashwagandha and turmeric) Osteoporosis Pre- and post-surgery health Preeclampsia Prostatitis (CBP, NBP) Rheumatoid arthritis In double-blind trials, zinc lozenges have reduced the duration of colds in adults, 1 2 3 but have been ineffective in children. 4 The ability of zinc to shorten colds may be due to a direct, localized anti-viral action in the throat. For the alleviation of cold symptoms, lozenges providing 13–25 mg of zinc, in the form 158 Glen Swartwout of zinc gluconate, zinc gluconate-glycine, or zinc acetate, are used, typically every two hours while awake, but only for several days. The best effect is obtained when lozenges are used at the first sign of a cold. Lozenges containing zinc gluconate, zinc gluconate-glycine, or zinc acetate have been effective, whereas most other forms of zinc and lozenges flavored with citric acid, 5 tartaric acid, sorbitol, or mannitol, have been ineffective. 6 Trials using forms other than zinc gluconate, zinc gluconate-glycine, or zinc acetate have failed, as have trials that use insufficient amounts of zinc. 7 Therefore, until more is known, people should only use zinc gluconate, zinc gluconate-glycine, or zinc acetate. Zinc reduces the body’s ability to utilize the essential mineral copper . (For healthy people, this interference is circumvented by supplementing with copper, along with zinc.) The ability to interfere with copper makes zinc an important therapeutic tool for people with Wilson’s disease —a genetic condition that causes copper overload. Zinc supplementation in children in developing countries is associated with improvements in stunted growth, increased weight gain in underweight children, and substantial reductions in the rates of diarrhea and pneumonia, the two leading causes of death in these settings. 8 9 10 Whether such supplementation would help people in better nourished populations remains unclear. A small, preliminary trial has found zinc sulfate to be effective for contact dermatitis (a skin rash caused by contact with an allergen or irritant). 11 Participants with active skin rashes took approximately 23 mg of zinc (in the form of zinc sulfate) three times daily, for one month. 73% of those taking the zinc sulfate had complete resolution of their skin rashes, while the remaining participants had a 50–75% improvement. Further trials are needed to confirm these preliminary findings, however. Dietary sources of zinc include ginger, sunflower seeds, oysters, meat, eggs, seafood, black-eyed peas, tofu, and wheat germ. Who is likely to be deficient? Zinc deficiencies are quite common in people living in poor countries. Phytate, a substance found in unleavened bread ( pita , matzos, and some crackers ) significantly reduces absorption of zinc, increasing the chance of zinc deficiency. However, phytate-induced deficiency of zinc appears to be a significant problem only for people already consuming marginally low amounts of zinc. Even in developed countries, low-income pregnant women and pregnant teenagers are at risk for marginal zinc deficiencies. Supplementing with 25–30 mg per day improves pregnancy outcome in these groups. 12 13 Materia Medica People with liver cirrhosis appear to be commonly deficient in zinc. 14 This deficiency may be due to cirrhosis-related zinc malabsorption .15 People with Down’s syndrome are also commonly deficient in zinc. 16 Giving zinc supplements to children with Down’s syndrome has been reported to improve impaired immunity 17 and thyroid function, 18 though optimal intake of zinc for people with Down’s syndrome remains unclear. Children with alopecia areata (patchy areas of hair loss) have been reported to be deficient in zinc. 19 20 The average diet frequently provides less than the Recommended Dietary Allowance for zinc, particularly in vegetarians . To what extent (if any) these small deficits in zinc intake create clinical problems remains unclear. Nonetheless, a low-potency supplement (15 mg per day) can fill in dietary gaps. Zinc deficiencies are more common in alcoholics and people with sickle cell anemia ,malabsorption problems, and chronic kidney disease. 21 How much is usually taken? Moderate intake of zinc, approximately 15 mg daily, is adequate to prevent deficiencies. Higher levels (up to 50 mg taken three times per day) are reserved for people with certain health conditions, under the supervision of a doctor. For the alleviation of cold symptoms, lozenges providing 13–25 mg of zinc in the form zinc gluconate, zinc gluconate-glycine, or zinc acetate are generally used frequently but only for several days. Are there any side effects or interactions? Zinc intake in excess of 300 mg per day has been reported to impair immune function .22 Some people report that zinc lozenges lead to stomach ache, nausea, mouth irritation, and a bad taste. One source reports that gastrointestinal upset, metallic taste in the mouth, blood in the urine and lethargy can occur from chronic oral zinc supplementation over 150 mg per day, 23 but those claims are unsubstantiated. In topical form, zinc has no known side effects when used as recommended. Preliminary research had suggested that people with Alzheimer’s disease should avoid zinc supplements. 24 More recently, preliminary evidence in four patients actually showed improved mental function with zinc supplementation. 25 In a convincing review of zinc/Alzheimer’s disease research, perhaps the most respected zinc researcher in the world concluded that zinc does not cause or exacerbate Alzheimer’s disease symptoms. 26 Zinc inhibits copper absorption. Copper deficiency can result in anemia, lower levels of HDL (“good”) cholesterol , or cardiac arrhythmias .27 28 29 Copper intake should be increased if zinc supplementation 160 Glen Swartwout continues for more than a few days (except for people with Wilson’s disease ). 30 Some sources recommend a 10:1 ratio of zinc to copper. Evidence suggests that no more that 2 mg of copper per day is needed to prevent zinc-induced copper deficiency. Many zinc supplements include copper in the formulation to prevent zinc-induced copper deficiency. Zinc-induced copper deficiency has been reported to cause reversible anemia and suppression of bone marrow. 31 Marginal zinc deficiency may be a contributing factor in some cases of anemia. In a study of women with normocytic anemia (i.e., their red blood cells were of normal size) and low total iron-binding capacity (a blood test often used to assess the cause of anemia), combined iron and zinc supplementation significantly improved the anemia, whereas iron or zinc supplemented alone had only slight effects. 32 Supplementation with zinc, or zinc and iron together, has been found to improve vitamin A status among children at high risk for deficiency of the three nutrients. 33 Zinc competes for absorption with copper ,iron ,34 35 calcium ,36 and magnesium .37 Amultimineral supplement will help prevent mineral imbalances that can result from taking high amounts of zinc for extended periods of time. N-acetyl cysteine (NAC) may increase urinary excretion of zinc. 38 Long-term users of NAC may consider adding supplements of zinc and copper. Certain medications may have beneficial or harmful interactions with zinc. Aspirin (Depletion or interference) AZT (Supportive interaction) Benazepril (Depletion or interference) Benzamycin (Supportive interaction) Bile Acid Sequestrants (Depletion or interference) Calcium Acetate (Depletion or interference) Captopril (Depletion or interference) Chlorhexidine: Using a zinc solution at the same time as chlorhexidine may increase the anti-plaque activity of the drug. Waler SM, Rolla G. Plaque inhibiting effect of combinations of chlorhexidine and the metal ions zinc and tin. A preliminary report. Acta Odontol Scand 1980;38:213–7. Using a zinc solution at the same time as chlorhexidine may reduce the possibility of staining. Materia Medica Sanz M, Vallcorba N, Fabregues S, et al. The effect of a dentifrice containing chlorhexidine and zinc on plaque, gingivitis, calculus and tooth staining. J Clin Peridontol 1994;21:431–7. Ciprofloxacin (Reduced drug absorption/bioavailability) Cisplatin (Side effect reduction/prevention) Clindamycin Topical (Supportive interaction) Colestipol (Depletion or interference) Oral Corticosteroids: increase urinary loss of zinc Buist RA. Drug-nutrient interactions—an overview. Int Clin Nutr Rev 1984;4:114 [review]. Peretz AM, Neve JD, Famaey JP. Selenium in rheumatic diseases. Semin Arthritis Rheum 1991;20:305–16 [review]. Topical Corticosteroids (Supportive interaction) Cyclophosphamide (Side effect reduction/prevention) Docetaxel (Side effect reduction/prevention) Doxycycline (Reduced drug absorption/bioavailability) Estrogens (Combined) Folic Acid (Depletion or interference) Lisinopril (Depletion or interference) Medroxyprogesterone: In a group of 37 postmenopausal women treated with conjugated estrogens and medroxyprogesterone for 12 months, urinary zinc and magnesium loss was reduced in those women who began the study with signs of osteoporosis and elevated zinc and magnesium excretion. Herzberg M, Lusky A, Blonder J, Frenkel. The effect of estrogen replacement therapy on zinc in serum and urine. Obstet Gynecol 1996;87:1035–40. Methotrexate (Side effect reduction/prevention) Methyltestosterone (Adverse interaction) Metronidazole Vaginal (Supportive interaction) Minocycline (Depletion or interference) Ofloxacin (Reduced drug absorption/bioavailability) Oral Contraceptives (Depletion or interference) Penicillamine (Reduced drug absorption/bioavailability) 162 Glen Swartwout Quinapril (Depletion or interference) Ramipril (Depletion or interference) Risedronate (Reduced drug absorption/bioavailability) Sodium Fluoride (Depletion or interference) Tetracycline (Reduced drug absorption/bioavailability) Tetracyclines (Reduced drug absorption/bioavailability) Thiazide Diuretics (Depletion or interference) Valproic Acid: In various studies of children treated with valproic acid for epilepsy compared with control groups, serum zinc levels remained normal Kaji M, Ito M, Okuno T, et al. Serum copper and zinc levels in epileptic children with valproate treatment. Epilepsia 1992;33:555–7. Lerman-Sagie T, Statter M, Szabo G, Lerman P. Effect of valproic acid therapy on zinc metabolism in children with primary epilepsy. Clin Neuropharmacol 1987;10:80–6. or decreased, Sozuer DT, Barutcu UB, Karakoc Y, et al. The effects of antiepileptic drugs on serum zinc and copper levels in children. J Basic Clin Physiol Pharmacol 1995;6:265–9. and red blood cell zinc levels were decreased. Lerman-Sagie T, Statter M, Szabo G, Lerman P. Effect of valproic acid therapy on zinc metabolism in children with primary epilepsy. Clin Neuropharmacol 1987;10:80–6. Warfarin (Reduced drug absorption/bioavailability) References: 1. Mossad SB, Macknin ML, Medendorp SV, et al. Zinc gluconate lozenges for treating the common cold. Ann Intern Med 1996;125:81–8. 2. Anonymous. Zinc lozenges reduce the duration of common cold symptoms. Nutr Rev 1997;55:82–8 [review]. Materia Medica 3. Garland ML, Hagmeyer KO. The role of zinc lozenges in treatment of the common cold. Ann Pharmacother 1998;32:93–69 [review]. 4. Macknin ML, Piedmonte M, Calendine C, et al. Zinc gluconate lozenges for treating the common cold in children. A randomized controlled trial. JAMA 1998;279:1962–7. 5. Eby G. Where’s the bias? Ann Intern Med 1998;128:75 [letter]. 6. Garland ML, Hagmeyer KO. The role of zinc lozenges in treatment of the common cold. Ann Pharmacother 1998;32:63–9 [review]. 7. Weismann K, Jakobsen JP, Weismann JE, et al. Zinc gluconate lozenges for common cold. A doubleblind clinical trial. Dan Med Bull 1990;37:279–81. 8. Bhutta ZA, Black RE, Brown KH, et al. Prevention of diarrhea and pneumonia by zinc supplementation in children in developing countries: pooled analysis of randomized controlled trials. Zinc Investigators’ Collaborative Group. J Pediatr 1999;135:689–97. 9. Umeta M, West CE, Haidar J, et al. Zinc supplementation and stunted infants in Ethiopia: a randomised controlled trial. Lancet 2000;355:2021–6. 10. Gibson RS. Zinc supplementation for infants. Lancet 2000;355:2008–9. 11. Santucci B, Cristaudo A, Mehraban M, et al. ZnSO4 treatment of NiSO4-positive patients. Contact Dermatitis 1999;40:281–2. 12. Cherry FF, Sandstead HH, Rojas P, et al. Adolescent pregnancy: associations among body weight, zinc nutriture, and pregnancy outcome. Am J Clin Nutr 1989;50:945–54. 13. Goldenberg RL, Tamura T, Neggers Y, et al. The effect of zinc supplementation on pregnancy outcome. JAMA 1995;274:463–8. 14. Scholmerich J, Lohla E, Gerok W. Zinc and vitamin A deficiency in liver cirrhosis. Hepatogastroenterology 1983;30:119–25. 15. Karayalcin S, Arcasoy A, Uzunalimoglu O. Zinc plasma levels after oral zinc tolerance test in nonalcoholic cirrhosis. Dig Dis Sci 1988;33:1096–102. 164 Glen Swartwout 16. Stabile A, Pesaresi MA, Stabile AM, et al. Immunodeficiency and plasma zinc levels in children with Down’s syndrome: a long-term follow-up of oral zinc supplementation. Clin Immunol Immunopathol 1991;58:207–16. 17. Björksten B, Back O, Gustavson KH, et al. Zinc and immune function in Down’s syndrome. Acta Paediatr Scand 1980;69:183–7. 18. Bucci I, Napolitano G, Guiliani C, et al. Zinc sulfate supplementation improves thyroid function in hypozincemic Down children. Biol Trace Elem Res 1999;67;257–68. 19. Wollowa F, Jablonska S. Zinc in the treatment of alopecia areata. In: Kobori Y, Montagna W (eds). Biology and Diseases of the Hair . Tokyo: University Park Press, 1976, 305. 20. Lutz G. The value of zinc in treatment of alopecia areata. 2nd Meeting of the European Hair Research Society, Bologna, April 14, 1991. 21. Prasad A. Discovery of human zinc deficiency and studies in an experimental human model. Am J Clin Nutr 1991;53:403–12 [review]. 22. Chandra RK. Excessive intake of zinc impairs immune responses. JAMA 1984;252:1443. 23. Shannon M. Alternative medicines toxicology: a review of selected agents. Clin Toxicol 1999;37:709–13 24. Bush AI, Pettingell WH, Multhaup G, et al. Rapid induction of Alzheimer A8 amyloid formation by zinc. Science 1994;265:1464–5. 25. Potocnik FCV, van Rensburg SJ, Park C, et al. Zinc and platelet membrane microviscosity in Alzheimer’s disease. S Afr Med J 1997;87:1116–9. 26. Prasad AS. Zinc in human health: an update. J Trace Elem Exp Med 1998;11:63–87. 27. Broun ER, Greist A, Tricot G, Hoffman R. Excessive zinc ingestion-a reversible cause of sideroblastic anemia and bone marrow depression. JAMA 1990;264:1441–3. 28. Reiser S, Powell A, Yang CY, Canary JJ. Effect of copper intake on blood cholesterol and its lipoprotein distribution in men. Nutr Rep Int 1987;36:641–9. 29. Sandstead HH. Requirements and toxicity of essential trace elements, illustrated by zinc and copper. Am J Clin Nutr 1995;61(suppl):621S–24S [review]. Materia Medica 30. Fischer PWF, Giroux A, Labbe MR. Effect of zinc supplementation on copper status in adult man. Am J Clin Nutr 1984;40:743–6. 31. Broun ER, Greist A, Tricot G, Hoffman R. Excessive zinc ingestion. A reversible cause of sideroblastic anemia and bone marrow depression. JAMA 1990;264:1441–3. 32. Nishiyama S, Irisa K, Matsubasa T, et al. Zinc status relates to hematological deficits in middle-aged women. J Am Coll Nutr 1998;17:291–5. 33. Muñoz EC, Rosado JL, Lopez P, et al. Iron and zinc supplementation improves indicators of vitamin A status of Mexican preschoolers. Am J Clin Nutr 2000;71:789–94. 34. Dawson EB, Albers J, McGanity WJ. Serum zinc changes due to iron supplementation in teen-age pregnancy. Am J Clin Nutr 1990;50:848–52. 35. Crofton RW, Gvozdanovic D, Gvozdanovic S, et al. Inorganic zinc and the intestinal absorption of ferrous iron. Am J Clin Nutr 1989;50:141–4. 36. Argiratos V, Samman S. The effect of calcium carbonate and calcium citrate on the absorption of zinc in healthy female subjects. Eur J Clin Nutr 1994;48:198–204. 37. Spencer H, Norris C, Williams D. Inhibitory effects of zinc on magnesium balance and magnesium absorption in man. J Am Coll Nutr 1994;13:479–84. 38. Brumas V, Hacht B, Filella M, Berthon G. Can N-acetyl-L-cysteine affect zinc metabolisms when used as a paracetamol antidote? Agents Actions 1992;36:278–88. Group IIIb: Scandium Group IVb: Titanium Titanium Titanium dental implants, eyeglass frames, jewelry and sunscreens are becoming more common. Titanium is a relatively inert metal. 166 Glen Swartwout Titanium resembles aluminum in being abundant in the lithosphere and soils, and in being poorly absorbed and retained by plants and animals. The poor absorption and retention of titanium results in levels in the tissues of plants and animals being generally much lower than those in the environment to which the organisms are exposed. Bertrand and Voronca-Spirt examined a variety of plants for titanium and recorded levels ranging from 0.1 to 5 mcg/g, with a high proportion being close to I mcg/g Similar concentrations were reported by Mitchell in his subsequent study of the mineral composition of red clover and ryegrass grown on different soils. A mean of 1.8 mcg/g dry weight (range 0.7-3.8 mcg/g) was obtained for the former species and 2.0 mcg/g dry weight (range 0.9-4.6 mcg/g for the latter. Very little is known of the titanium content of human foods. Furr and coworkers found that on a dryweight basis, a variety of tree nuts, fruit kernels, and maple syrup contained 0.5-6.1 mcg titanium per gram; most values ranged between 2 and 3 mcg/g. This study indicated urinary excretion of titanium was high, thus suggesting either considerable absorption from the diet or loss from previously retained tissue titanium. Both individuals were in negative balance, with approximately equal excretion via the feces and urine. No evidence has appeared that suggests absorbed titanium performs any vital function in animals or that it is a dietary essential for any living organism. Titanium is essentially nontoxic in the amounts and forms that are usually ingested. The findings of Schroeder and co-workers indicated that 5 mcg/ml titanium in the drinking water fed to mice for their lifetime did not consistently affect growth, longevity, and tumor incidence. A review of titanium toxicity questioned whether evidence of a specific oral toxicity had ever been found. Group Vb: Vanadium Vanadium Vanadium is an ultra-trace mineral that is known to be essential for some animals. Deficiency symptoms in these animals include growth retardation, bone deformities, and infertility. Vanadium is not proven essential for humans. Vanadium may help build bones and teeth. Vanadyl sulfate may improve glucose control in people with type 2 (non-insulin-dependent) diabetes mellitus, according to a study of eight people with diabetes who supplemented with 100 mg of the mineral daily for four weeks. 1 Long-term safety of large doses of vanadium is unknown. Vanadium may not help people with type 1 (insulin-dependent) diabetes. 2 Materia Medica Sources: Vanadium is found in very small amounts in a wide variety of foods, including seafood ,cereals ,mushrooms , parsley, corn, soy , and gelatin. Traditional clinical use: Diabetes Deficiency: Deficiency of vanadium is not documented in humans. Dosage: Most people may not benefit with vanadium supplementation, and optimal intake is unknown. If vanadium is essential for humans, the requirement is probably less than 10 mcg per day. Average dietary intake is 15-30 mcg per day. Side-effects: Not much is known about vanadium toxicity, except in workers exposed to vanadium dust. High blood levels link with manic-depressive mental disorders. 3 Vanadium can inhibit or stimulate cancer growth in animals, but similar effects are unknown in humans. 4 The ratio of Vanadium to Chromium may be important in sugar regulation. There are no known drug interactions with vanadium. References: Boden G, Chen X, Ruiz J, et al. Effects of vanadyl sulfate on carbohydrate and lipid metabolism in patients with non-insulin-dependent diabetes mellitus. Metabolism 1996;45:1130-5. Aharon Y, Mevorach M, Shamoon H. Vanadyl sulfate does not enhance insulin action in patients with type 1 diabetes. Diabetes Care 1998;21:2194 [letter]. Naylor GJ. Vanadium and manic depressive psychosis. Nutr Health 1984;3:79-85 [review]. Chakraborty A, Ghosh R, Roy K, et al. Vanadium: a modifier of drug metabolizing enzyme patterns and its critical role in cellular proliferation in transplantable murine lymphoma. Oncology 1995;52:310-4. 168 Glen Swartwout Group VIb: Chromium Chromium Glucose Tolerance Factor (GTF) Chromium Traditional Uses: Athletic performance Blood sugar regulation Cardiovascular health Cholesterol reduction Cravings: caffeine, carbohydrates, chocolate, sweets Depression Diabetes Glucose-Tolerance Hypoglycemia Longevity: ~5 years increase with 200 mcg/day supplementation Muscle mass Syndrome X: Insulin resistance syndrome Triglyceride reduction Weight-management Chromium is the only mineral that the body is not able to conserve. It is used up by eating refined and processed foods, as it is one of the first nutrients lost and is needed to metabolize sugars and carbohydrates. Deficiency contributes to cardiovascular disease, obesity and diabetes and cuts about 5 years off lifeexpectancy. Chromium Glucose-Tolerance Factor is the biologically active niacin-bound form of chromium that promotes proper insulin function in the body. Insulin plays an important role in weight management, cardiovascular health and muscle growth, and healthy amounts of chromium may help the body control sugar cravings and maintain proper blood-sugar levels required for successful weight management. An essential mineral, chromium assists the body in metabolizing fats and carbohydrates, while helping to maintain proper insulin levels. Insulin is part of the fundamental biological processes of regulating the movement of glucose out of the blood stream and into cells. Research indicates chromium is a cofactor for Materia Medica glucose uptake through the cell membrane. This occurs when chromium is converted into Glucose Tolerance Factor, the active form of the mineral which supports the functions of insulin in the body, such as maintaining healthy blood sugar levels and appetite control. Chromium supplementation improves glucose tolerance in people with Turner’s syndrome, a condition linked with glucose intolerance. 1 Chromium can also increase HDL (“good”) cholesterol, 2 while lowering total cholesterol. 3 Chromium picolinate can improve body composition. Research in animals 4 and humans 5 6 shows that chromium picolinate increases fat loss and promotes a gain in lean muscle tissue. Double-blind research shows a reduction in body fat 7 and body weight 8 in people given 400 mcg of chromium (as chromium picolinate) per day for three months. However, other studies have failed to show a significant effect of chromium picolinate on body composition. 9 A source of chromium is true brewer’s yeast, but many people are sensitive to yeast. Nutritional yeast and torula yeast do not contain significant amounts of chromium. Chromium is found in grains and cereals, though much is lost in refining. Some beers contain significant amounts of chromium. Chromium-Deficiency: Most Americans eat less than the U.S. National Academy of Science’s recommended range of 50 to 200 mcg per day. The high incidence of adult-onset diabetes suggests that many people should supplement chromium. A daily intake of 200 mcg is recommended for prevention. In supplemental amounts (typically 50-300 mcg per day), chromium has not been found to cause toxicity in humans. A few reports of people developing medical problems while taking chromium have not revealed any causative relationships. One study suggests that chromium in very high concentrations in a test tube could cause chromosomal mutations in ovarian cells of hamsters. 10 11 Chromium picolinate can be altered by antioxidants or hydrogen peroxide in the body to a form that could itself create free radical damage. 12 Theoretically, these changes could increase cancer risk, but chromium intake is not linked to increased cancer in humans. 13 Chromium supplementation may enhance effects of drugs for diabetes (e.g., insulin , blood sugar-lowering agents) and possibly lead to hypoglycemia. People taking medications for diabetes should supplement chromium with the supervision of a doctor, and reduce drug dosages as needed. 170 Glen Swartwout One report of severe illness with liver and kidney damage in a person taking 1,000 mcg of chromium per day is reported. 14 Chromium supplementation was not proven to be the cause. Another source claims there have been reports of mild heart rhythm abnormalities with excessive chromium ingestion. 15 No published evidence supports this assertion. Three unrelated cases of toxicity are known from chromium picolinate. A kidney failure started after taking 600 mcg per day for six weeks. 16 A case of anemia, liver dysfunction, and other issues started after four to five months of 1,200-2,400 mcg per day. 17 A case of the muscle disease rhabdomyolysis started in a body builder taking 1200 mcg over 48 hours. 18 Whether these issues were caused by chromium or picolinate or other factors is unkown. Limit intake to 300 mcg per day of chromium unless more is recommended by your health practitioner. Vitamin C increases the absorption of chromium. 19 Certain medications may interact with chromium. Refer to the drug interactions safety check for a list of those medications. References: 1. Saner G, Yüzbasiyan V, Neyzi O, et al. Alterations of chromium metabolism and effect of chromium supplementation in Turner’s syndrome patients. Am J Clin Nutr 1983;38:574-8. 2. Riales R, Albrink MJ. Effect of chromium chloride supplementation on glucose tolerance and serum lipids including high-density lipoprotein of adult men. Am J Clin Nutr 1981;34:2670-8. 3. Wang MM, Fox EZ, Stoecker BJ, et al. Serum cholesterol of adults supplemented with brewer’s yeast or chromium chloride. Nutr Res 1989;9:989-98. 4. Page TG, Southern LL, Ward TL, et al. Effect of chromium picolinate on growth and serum and carcass traits of growing-finishing pigs. J Anim Sci 1993;71:656-62. 5. Lefavi R, Anderson R, Keith R, et al. Efficacy of chromium supplementation in athletes: emphasis on anabolism. Int J Sport Nutr 1992;2:111-22. 6. McCarty MF. The case for supplemental chromium and a survey of clinical studies with chromium picolinate. J Appl Nutr 1991;43:59-66. Materia Medica 7. Kaats GR, Blum K, Fisher JA, Adelman JA. Effects of chromium picolinate supplementation on body composition: a randomized, double-masked, placebo-controlled study. Curr Ther Res 1996;57:747-56. 8. Kaats GR, Blum K, Pullin D, et al. A randomized, double-masked, placebo-controlled study of the effects of chromium picolinate supplementation on body composition: a replication and extension of a previous study. Curr Ther Res 1998;59:379-88. 9. Hallmark MA, Reynolds TH, DeSouza CA, et al. Effects of chromium and resistive training on muscle strength and body composition. Med Sci Spt Ex 1996;28:139-44. 10. Sterns DM, Belbruno JJ, Wetterhahn KE. A prediction of chromium (III) accumulation in humans from chromium dietary supplements. FASEB J 1995;9:1650-7. 11. Sterns DM, Wise JP, Patierno SR, Wetterhahn KE. Chromium (III) picolinate produces chromosome damage in Chinese hamster ovary cells. FASEB J 1995;9:1643-9. 12. Speetjens JK, Collins RA, Vincent JB, Woski SA. The nutritional supplement chromium (III) tris(picolinate) cleaves DNA. Chem Res Toxicol 1999;12:483-7. 13. Garland M, Morris JS, Colditz GA, et al. Toenail trace element levels and breast cancer. Am J Epidemiol 1996;144:653-60. 14. Cerulli J, Grabe DW, Guathier I, et al. Chromium picolinate toxicity. Ann Pharmacother 1998;32:42831. 15. Shannon M. Alternative medicines toxicology: a review of selected agents. J Clin Toxicol 1999;37:70913. 16. Wasser WG, Feldman NS. Chronic renal failure after ingestion of over-the-counter chromium picolinate. Ann Intern Med 1997;126:410 [letter]. 17. Cerulli J, Grabe DW, Gauthier I, et al. Chromium picolinate toxicity. Ann Pharmacother 1998;32:42831. 18. Martin WR, Fuller RE. Suspected chromium picolinate-induced rhabdomyolysis. Pharmacotherapy 1998;18:860-2. 172 Glen Swartwout 19. Offenbacher EG. Promotion of chromium absorption by ascorbic acid. Trace Elements Electrolytes 1994;11:178-81. Chromium & Weight-Management In a study conducted at the Health and Medical Research Foundation in San Antonio, Texas, researchers examined the effect of chromium picolinate on body composition in 154 subjects. The randomized, double-masked, placebo-controlled study administered 200 and 400mcg of chromium daily for a total of 72 days. Body composition was measured before and after the test period by using underwater displacement testing. Patients however were allowed to follow any diet they chose, and did not receive any weight loss, dietary or exercise guidance from the researchers. On completion of the post trial exam, body composition improvement was calculated for each subject by adding the amount of body fat lost and nonfat mass gained, then subtracting fat gained and lean mass lost. The researchers found that both the 200mcg and 400mcg groups had significantly higher positive changes compared to placebo. Those taking chromium experienced an average fat loss of 2.5 pounds versus about one quarter pound in the placebo group. The researchers also observed a gain of 4 pounds of lean body mass in the chromium groups, versus less than one half pound in the placebo group. Group VIIb: Manganese Manganese Manganese is essential for healthy skin, bone, and cartilage formation, as well as glucose tolerance. Manganese participates in superoxide dismutase (SOD), one of the most important antioxidant enzymes. In plants, the splitting of water by sunlight, occurs at a catalytic centre that consists of four manganese atoms. Three of the manganese atoms, a calcium atom and four oxygen atoms form a cube-like structure, which brings stability to the catalytic centre. The fourth and most reactive manganese atom is attached to one of the oxygen atoms of the cube. Sources: Nuts and seeds, wheat germ, wheat bran, leafy green vegetables, beet tops, tea and pineapple. Uses: Materia Medica Tardive dyskinesia Diabetes Hypoglycemia Osgood-Schlatter disease Osteoporosis Sprains and strains Deficiency Many people consume less than the 2–5 mg of manganese currently considered safe and adequate. Nonetheless, clear deficiencies are rare. People with osteoporosis sometimes have low blood levels of manganese, suggestive of deficiency. 1 How much is usually taken? Whether most people would benefit from manganese supplementation remains unclear. While there is no recommended dietary allowance, the National Research Council’s “estimated safe and adequate daily dietary intake” is 2–5 mg. 2 The Institute of Medicine recommends that intake of manganese from food, water and dietary supplements should not exceed the tolerable daily upper limit of 11 mg per day. In contrast, the 5–15 mg often found in high-potency multivitamin-mineral supplements is generally considered to be a reasonable level by many doctors, though many manufacturers are likely to reformulate their products to contain no more than 11 mg per daily amount. Amounts found in supplements (5–20 mg) have not been linked with any toxicity. Excessive intake of manganese rarely lead to psychiatric symptoms. However, most reports of manganese toxicity in otherwise healthy people have been in those people who chronically inhaled manganese dust at their jobs e.g., miners or alloy plant workers. Other sources of manganese intoxication are now recognized, including total parenteral nutrition (TPN) in patients who are being fed intravenously 3 4 5 and pesticides containing manganese in agricultural workers who have been exposed. 6 Preliminary research suggests that people with cirrhosis 7 or cholestasis (blocked bile flow from the gall bladder) 8 may not be able to properly excrete manganese. Until more is known, these people should not supplement manganese. Manganese supplementation (3–5 mg per day) has caused severe hypoglycemia (low blood sugar) in a person with insulin -dependent diabetes. 9 People with diabetes who want to take manganese should consult their doctor. Calcium, iron and possibly zinc reduce absorption of manganese. 10 The link to iron may be most important: Women with high iron have relatively poor absorption of manganese. 11 High intake of non174 Glen Swartwout heme iron, as in most supplements, decreases manganese status. 12 Taking multi-minerals with manganese may protect against manganese deficiencies that might otherwise be triggered by taking iron. Certain medications may interact with manganese. Ciprofloxacin (Reduced drug absorption/bioavailability) Oral Contraceptives may interfere with manganese absorption. References: Raloff J. Reasons for boning up on manganese. Science 1986;130:199 [review]. National Research Council. Recommended Dietary Allowance s. 10th ed. Washington, DC: National Academy Press, 1989. Nagatomo S, Umehara F, Hanada K, et al. Manganese intoxication during total parenteral nutrition: report of two cases and review of the literature. J Neurol Sci 1999;162:102–5. Ejima A, Imamura T, Nakamura S, et al. Manganese intoxication during total parenteral nutrition. Lancet 1992;339:426 [letter]. Fell JM, Reynolds AP, Meadows N, et al. Manganese toxicity in children receiving long-term parenteral nutrition. Lancet 1996;347:1218–21. Ferraz HB, Bertolucci PH, Pereira JS, et al. Chronic exposure to the fungicide maneb may produce symptoms and signs of CNS manganese intoxication. Neurology 1988;38:550–3. Krieger D, Krieger S, Jansen O, et al. Manganese and chronic hepatic encephalopathy. Lancet 1995;346:270–4. Staunton M, Phelan DM. Manganese toxicity in a patient with cholestasis receiving total parenteral nutrition. Anaesthesia 1995;50:665. Rubenstein AH, Levin NW, Elliott GA. Hypoglycaemia induced by manganese. Nature (London) 1962;194:188–9. Freeland-Graves JH. Manganese: an essential nutrient for humans. Nutr Today 1989;23:13–9 [review]. Materia Medica Finley JW. Manganese absorption and retention by young women is associated with serum ferritin concentration. Am J Clin Nutr 1999;70:37–43. Davis CD, Malecki EA, Gerger JL. Interactions among dietary manganese, heme iron, and nonheme iron in women. Am J Clin Nutr 1992;56:926–32. Group VIIIb: Iron Iron 80% of iron is in the red blood cells as the metal cofactor in hemoglobin, the oxygen-carrying protein. Irondeficiency causes fatigue because of hypoxia. Iron is similarly catalytic in myoglobin, helping muscles hold oxygen. Without enough iron, ATP is not produced efficiently, causing fatigue even if hemoglobin levels are normal (i.e. without overt anemia). Iron is part of the antioxidant enzyme catalase, yet free iron causes oxidative damage. Sources: The most absorbable form of iron, called “heme” iron, is found in oysters, meat, poultry and fish. Non-heme iron is also found in these foods, as well as in dried fruit, molasses, leafy green vegetables, wine and iron supplements. Acidic foods (such as tomato sauce) cooked in an iron pan can also be a source of dietary iron. Well-documented uses: Athletic performance (for treatment of iron-deficiency only) Depression (for deficiency) Iron-deficiency anemia Menorrhagia (heavy menstruation) (for treatment of iron- deficiency only) Additional science-based uses: Canker sores Celiac disease (for treatment of iron-deficiency only) Pre- and post-surgery health (if deficient or for major surgery) Restless legs syndrome (only if iron-deficiency) 176 Glen Swartwout Traditional clinical uses: Alzheimer’s disease (in combination with coenzyme Q10 and vitamin B6 ) Dermatitis Herpetiformis HIV support Infertility (female) (for treatment of iron-deficiency only) Deficiency: Vegetarians eat less iron than non-vegetarians, and the iron they eat is somewhat less absorbable. As a result, vegetarians are more likely to have reduced iron stores. 1 However, iron deficiency is not usually caused by a lack of iron in the diet alone. An underlying cause, such as iron loss in menstrual blood, often exists. Pregnant women, marathon runners, people who take aspirin, and those who have parasitic infections, hemorrhoids, ulcers, ulcerative colitis, Crohn’s disease, gastrointestinal cancers, or other conditions that cause blood loss or malabsorption are likely to become deficient. Infants living in inner city areas may be at increased risk of iron-deficiency anemia 2 and suffer more often from developmental delays as a result. 3 4 Supplementation of infant formula with iron up to 18 months of age in inner city infants has been shown to prevent iron-deficiency anemia and to reduce the decline in mental development seen in such infants in some, 5 but not all, 6 studies. Breath-holding spells are a common problem affecting about 27% of healthy children. 7These spells have been associated with iron-deficiency anemia, 8and several studies have reported improvement of breathholding spells with iron supplementation. 9 10 11 12 People who fit into one of these groups, even pregnant women, shouldn’t automatically take iron supplements. Fatigue, the first symptom of iron deficiency, can be caused by many other things. A doctor should assess the need for iron supplements, since taking iron when it isn’t needed does no good and may do some harm. Which forms of supplemental iron are best? All iron supplements are not the same. Ferrous iron (e.g. ferrous sulfate) is much better absorbed than ferric iron (e.g. ferric citrate). 13 14 The most common form of iron supplement is ferrous sulfate, but it is known to produce intestinal side effects (such as constipation, nausea and bloating) in many users. 15 Some forms of ferrous sulfate are enteric-coated to delay tablet dissolving and prevent some side effects, 16 but enteric-coated iron may not absorb as well as iron from standard supplements. 17 18 19 Other forms of iron supplements, such as ferrous fumarate, 20 21 ferrous Materia Medica gluconate, 22 heme iron concentrate, 23 24 25 26 and iron glycine amino acid chelate 27 28 are wellabsorbed and less likely to cause intestinal side effects. Dosage: If a doctor diagnoses iron deficiency, iron supplementation is essential. To treat iron deficiency, a common recommended amount for an adult is 100 mg per day; that amount is usually reduced after the deficiency is corrected. When iron deficiency is diagnosed, the doctor must also determine the cause. Usually it’s not serious (such as normal menstrual blood loss or blood donation). Occasionally, however, iron deficiency signals ulcers or even colon cancer. Some premenopausal women become marginally iron deficient unless they supplement with iron. However, the 18 mg of iron present in many multivitamin-mineral supplements is often adequate to prevent deficiency. A doctor should be consulted to determine the amount of iron that is needed. Are there any side effects or interactions? Iron (ferrous sulfate) is the leading cause of accidental poisonings in children. 29 30 31 The incidence of iron poisonings in young children increased dramatically in 1986. Many of these children obtained the iron from a child-resistant container opened by themselves or another child, or left open or improperly closed by an adult. 32 Deaths in children have occurred from ingesting as little as 200 mg to as much as 5.85 grams of iron. 33 Keep iron-containing supplements out of a child’s reach. Hemochromatosis, hemosiderosis, polycythemia, and iron-loading anemias (such as thalassemia and sickle cell anemia) are conditions involving excessive storage of iron. Supplementing iron can be quite dangerous for people with these diseases. Supplemental amounts required to overcome iron deficiency can cause constipation. Sometimes switching the form of iron (see “Which forms of supplemental iron are best?” above), getting more exercise, or treating the constipation with fiber and fluids is helpful, though fiber can reduce iron absorption (see below). Sometimes the amount of iron must be reduced if constipation occurs. Some researchers have linked excess iron levels to diabetes, 34 cancer, 35 increased risk of infection, 36 systemic lupus erythematosus (SLE), 37 exacerbation of rheumatoid arthritis, 38 and Huntington’s disease. 39 The greatest concern has surrounded the possibility that excess storage of iron in the body increases the risk of heart disease .40 41 42 Two analyses of published studies came to different conclusions about whether iron could increase heart disease risk. 43 44 One trial has suggested that such a link may exist, but only in some people (possibly smokers or those with elevated cholesterol levels). 45 The link between excess iron and any of the diseases mentioned earlier in this paragraph has not been definitively proven. 178 Glen Swartwout Nonetheless, too much iron causes free radical damage, which can, in theory, promote or exacerbate most of these diseases. People who are not iron deficient should generally not take iron supplements. Patients on kidney dialysis who are given injections of iron frequently experience “oxidative stress”. This is because iron is a pro-oxidant, meaning that it interacts with oxygen molecules in ways that can damage tissues. These adverse effects of iron therapy may be counteracted by supplementation with vitamin E.46 Supplementation with iron, or iron and zinc, has been found to improve vitamin A status among children at high risk for deficiency of the three nutrients. 47 People with hepatitis C who have failed to respond to interferon therapy have been found to have higher amounts of iron within the liver. Moreover, reduction of iron levels by drawing blood has been shown to decrease liver injury caused by hepatitis C. 48 Therefore, people with hepatitis C should avoid iron supplements. In some people, particularly those with diabetes, insulin resistance syndrome , or liver disease, a genetic susceptibility to iron overload has been reported. 49 Many foods, beverages and supplements have been shown to affect the absorption of iron. 50 Interference with iron absorption: Tea (Camellia sinensis) 51 52 53, including green tea. 54 Drinking green tea (Camellia sinensis) with meals reduces absorption of iron by about 70%. This may benefit hemochromatosis. Coffee (Coffea arabica, Coffea robusta) 55 56 57 Red wine polyphenols (similar to those in tea) 58 59 Phytates (phytic acid) in unleavened wheat: matzoh, pita, wheat germ; some rye crackers; oats; nuts; cacao powder; vanilla extract; beans and other foods, as well as IP-6. 60 61 62 Whole-wheat bran, independent of phytates, inhibits iron absorption. 63 Calcium interferes with heme-iron absorption. 64 65 Unfermented soy protein 66 67 Eggs 68 69 Materia Medica Enhancement of iron absorption: Meat, poultry and fish.70 71 72 73 74 Vitamin C slightly increases iron absorption, 75 76 77 78 79 Vitamin A taken with iron improves absorption and/or utilization of iron. 80 81 Fermented soy foods (e.g. tofu, miso, tempeh) significantly improve iron absorption. 82 Some soy sauces enhance iron absorption. 83 Alcohol, but not red wine, increases absorption of ferric, but not ferrous, iron. 84 85 Iron has been reported to potentially interfere with manganese absorption. In one trial, women with high iron status had relatively poor absorption of manganese. 86 In another trial studying manganese/iron interactions in women, increasing intake of “non-heme iron,” the kind of iron found in most supplements, decreases manganese status. 87 These interactions suggest that taking multiminerals that include manganese may protect against manganese deficiencies that might otherwise be triggered by taking isolated iron supplements. Certain medications may interact with iron: Aspirin (Depletion or interference) Carbidopa (Reduced drug absorption/bioavailability) Carbidopa/Levodopa (Reduced drug absorption/bioavailability) Chlorhexidine (Adverse interaction) Cimetidine (Depletion or interference) Ciprofloxacin (Reduced drug absorption/bioavailability) Deferoxamine (Adverse interaction) Dipyridamole (Depletion or interference) Doxycycline (Reduced drug absorption/bioavailability) Etodolac (Depletion or interference) Famotidine (Depletion or interference) Haloperidol (Depletion or interference) Hyoscyamine (Depletion or interference) Ibuprofen (Depletion or interference) 180 Glen Swartwout Indomethacin: Iron supplements can cause stomach irritation, increasing risk of stomach irritation and bleeding from Indomethacin. Stomach bleeding causes iron loss. If iron and indomethacin are both prescribed, take with food to reduce stomach irritation and bleeding risk. Levofloxacin (Reduced drug absorption/bioavailability) Magnesium Hydroxide (Depletion or interference) Methyldopa (Reduced drug absorption/bioavailability) Minocycline (Depletion or interference) Nabumetone (Depletion or interference) Neomycin (Depletion or interference) Nizatidine (Depletion or interference) Ofloxacin (Reduced drug absorption/bioavailability) Oral Contraceptives: Menstrual bleeding and cleansing is typically reduced increasing risk of excess iron. 3 Premenopausal women on OCs should check iron levels before taking any iron supplementation. Oxaprozin (Depletion or interference) Penicillamine (Reduced drug absorption/bioavailability) Ranitidine (Depletion or interference) Risedronate (Reduced drug absorption/bioavailability) Sodium Bicarbonate (Depletion or interference) Stanozolol (Depletion or interference) Sulfasalazine (Reduced drug absorption/bioavailability) Tetracycline (Reduced drug absorption/bioavailability) Tetracyclines (Reduced drug absorption/bioavailability) Thyroid Hormones: Iron deficiency impairs thyroid hormone production. Beard JL, Borel MJ, Derr J. Impaired thermoregulation and thyroid function in iron-deficiency anemia. Am J Clin Nutr 1990;52:813-9. This could increase need for thyroid hormone substitution. Iron supplementation for iron-deficient women with low thyroid partially normalizes hormone levels. Beard JL, Borel MJ, Derr J. Impaired thermoregulation and thyroid function in iron deficiency anemia. Am J Clin Nutr 1990;52:813-9. Materia Medica Thyroid hormone production is also low with a low-calorie diet. Iron supplementation (27 mg per day) in a control study helps maintain normal thyroid hormone levels in obese patients even on a very low-calorie diet. Beard J, Borel M, Peterson FJ. Changes in iron status during weight loss with very-low-energy diets. Am J Clin Nutr 1997;66:104-10. Warfarin (Reduced drug absorption/bioavailability) References: 1. Sullivan JL. Stored iron and ischemic heart disease. Circulation 1992;86:1036 [editorial]. 2. Pollitt E. Poverty and child development: relevance of research in developing countries to the United States. Child Dev 1994;65(2 Spec No):283-95. 3. Hurtado EK, Claussen AH, Scott KG. Early childhood anemia and mild or moderate mental retardation. Am J Clin Nutr 1999;69:115-9. 4. Roncagliolo M, Garrido M, Walter T, et al. Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 mo: delayed maturation of auditory brainstem responses. Am J Clin Nutr 1998;68:683-90. 5. Williams J, Wolff A, Daly A, et al. Iron supplemented formula milk related to reduction in psychomotor decline in infants from inner city areas: randomised study. BMJ 1999;318:693-7 6. Morley R, Abbott R, Fairweather-Tait S, et al. Iron fortified follow on formula from 9 to 18 months improves iron status but not development or growth: a randomised trial. Arch Dis Child 1999;81:247-52. 7. Bridge EM, Livingston S, Tietze C. Breath-holding spells: their relationship to syncope, convulsions and other phenomena. J Pediatr 1943;23:539-61. 8. Holowach J, Thurston DL. Breath-holding spells and anemia. N Engl J Med 1963;268:21-3. 9. Bhatia MS, Singhal PK, Dhar NK, et al. Breath holding spells: an analysis of 50 cases. Indian Pediatr 1990;27:1073-9. 182 Glen Swartwout 10. Colina KF, Abelson HT. Resolution of breath-holding spells with treatment of concomitant anemia. J Pediatr 1995;126:395-7. 11. Daoud AS, Batieha A, al-Sheyyab M, et al. Effectiveness of iron therapy on breath-holding spells. J Pediatr 1997;130:547-50. 12. Mocan H, Yildiran A, Orhan F, Erduran E. Breath holding spells in 91 children and response to treatment with iron. Arch Dis Child 1999;81:261-2. 13. Dietzfelbinger H. Bioavailability of bi- and trivalent oral iron preparations. Investigations of iron absorption by postabsorption serum iron concentrations curves. Arzneimittelforschung 1987;37:107-12 [review]. 14. Davidsson L, Kastenmayer P, Szajewska H, et al. Iron bioavailability in infants from an infant cereal fortified with ferric pyrophosphate or ferrous fumarate. Am J Clin Nutr 2000;71:1597-602. 15. Hansen CM. Oral iron supplements. Am Pharm 1994 Mar;NS34:66-71 [review]. 16. Simmons WK, Cook JD, Bingham KC, et al. Evaluation of a gastric delivery system for iron supplementation in pregnancy. Am J Clin Nutr 1993;58:622-6. 17. Ricketts CD. Iron bioavailability from controlled-release and conventional iron supplements. J Appl Nutr 1993;45:13-19. 18. Rudinskas L, Paton TW, Walker SE. Poor clinical response to enteric-coated iron preparations. Can Med Assoc J 1989;141:565-6. 19. Walker SE, Paton TW, Cowan DH, et al. Bioavailability of iron in oral ferrous sulfate preparations in healthy volunteers. Can Med Assoc J 1989;141:543-7. 20. Bender-Gotze C. Therapy of juvenile iron deficiency with bivalent iron dragees (Fe2-fumarate, succinate, sulfate). Controlled double-blind study . Fortschr Med 1980;98:590-3 [in German]. 21. Hurrell RF, Furniss DE, Burri J, et al. Iron fortification of infant cereals: a proposal for the use of ferrous fumarate or ferrous succinate. Am J Clin Nutr 1989;49:1274-82. 22. Casparis D, Del Carlo P, Branconi F, et al. Effectiveness and tolerability of oral liquid ferrous gluconate in iron-deficiency anemia in pregnancy and in the immediate post-partum period: comparison Materia Medica with other liquid or solid formulations containing bivalent or trivalent iron. Minerva Ginecol 1996;48:511-8 [in Italian]. 23. Frykman E, Bystrom M, Jansson U, et al. Side effects of iron supplements in blood donors: superior tolerance of heme iron. J Lab Clin Med 1994;123:561-4. 24. Martinez C, Fox T, Eagles J, Fairweather-Tait S. Evaluation of iron bioavailability in infant weaning foods fortified with haem concentrate. J Pediatr Gastroenterol Nutr 1998;27:419-24. 25. Hertrampf E, Olivares M, Pizarro F, et al. Haemoglobin fortified cereal: a source of available iron to breast-fed infants. Eur J Clin Nutr. 1990;44:793-8. 26. Calvo E, Hertrampf E, de Pablo S, et al. Haemoglobin-fortified cereal: an alternative weaning food with high iron bioavailability. Eur J Clin Nutr 1989;43:237-43 [review]. 27. Fox TE, Eagles J, Fairweather-Tait SJ. Bioavailability of iron glycine as a fortificant in infant foods. Am J Clin Nutr 1998;67:664-8. 28. Pineda O, Ashmead HD, Perez JM, Lemus C. Effectiveness of iron amino acid chelate on the treatment of iron deficiency anemia in adolescents. J Appl Nutr 1994;46:2-13. 29. FDA Medical Bulletin, U.S. Government Printing Office, document number 386-942/00002; February 6, 1995. 30. Nightingale SL. Action to prevent accidental iron poisoning in children. JAMA 1997;27:1343. 31. Krezenlok EP, Hoff JV. Accidental iron poisoning. A problem of marketing and labeling. Pediatrics 1979;63:591-6. 32. Morris CC. Pediatric iron poisonings in the United States. South Med J 2000;93:352-8. 33. Mills KC, Curry SC. Acute iron poisoning. Emerg Med Clin N Am 1994;12;397-413. 34. Cutler P. Deferoxamine therapy in high-ferritin diabetes. Diabetes 1989;38:1207-10. 35. Stevens RG, Graubard BI, Micozzi MS, et al. Moderate elevation of body iron level and increased risk of cancer occurrence and death. Int J Cancer 1994;56:364-9. 184 Glen Swartwout 36. Weinberg ED. Iron withholding: a defense against infection and neoplasia. Am J Physiol 1984;64:65102. 37. Oh VMS. Iron dextran and systemic lupus erythematosus. Br Med J 1992;305:1000 [letter]. 38. Dabbagh AJ, Trenam CW, Morris CJ, Blake DR. Iron in joint inflammation. Ann Rheum Dis 1993;52:67-73. 39. Bartzokis G, Cummings J, Perlman S, et al. Increased basal ganglia iron levels in Huntington disease. Arch Neurol 1999;56:569-74. 40. Salonen JT, Nyyssonen K, Korpela H, et al. High stored iron levels associated with excess risk of myocardial infarction in western Finnish men. Circulation 1992;86:803-11. 41. Kechl S, Willeit J, Egger G, et al. Body iron stores and the risk of carotid atherosclerosis. Circulation 1997;96:3300-7. 42. Tzonou A, Lagiou P, Trichopoulou A, et al. Dietary iron and coronary heart disease risk: a study from Greece. Am J Epidemiol 1998;147:161-6. 43. Danesh J, Appleby P. Coronary heart disease and iron status. Meta-analyses of prospective studies. Circulation 1999;99:852-4. 44. de Valk B, Marx MMJ. Iron, atherosclerosis, and ischemic heart disease. Arch Intern Med 1999;159:1542-8 [review]. 45. Klipstein-Grobusch K, Koster JF, Grobbee DE, et al. Serum ferritin and risk of myocardial infarction in the elderly: the Rotterdam Study. Am J Clin Nutr 1999;69:1231-6. 46. Roob JM, Khoschsorur G, Tiran A, et al. Vitamin E attenuates oxidative stress induced by intravenous iron in patients on hemodialysis. J Am Soc Nephrol 2000;11:539-49. 47. Muñoz EC, Rosado JL, Lopez P, et al. Iron and zinc supplementation improves indicators of vitamin A status of Mexican preschoolers. Am J Clin Nutr 2000;71:789-94. 48. Di Bisceglie AM, Bonkovsky HL, Chopra S, et al. Iron reduction as an adjuvant to interferon therapy in patients with chronic hepatitis C who have previously not responded to interferon: a multicenter, prospective, randomized, controlled trial. Hepatology 2000;32:135-8. Materia Medica 49. Ferrennini E. Insulin resistance, iron, and the liver. Lancet 2000;355:2181-2 [letter]. 50. Hallberg L, Hulthen L. Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr 2000;71:1147-60. 51. Disler PB, Lynch SR, Charlton RW, et al. The effect of tea on iron absorption. Gut 1975;16:193-200. 52. Derman D, Sayers M, Lynch SR, et al. Iron absorption from a cereal-based meal containing cane sugar fortified with ascorbic acid. Br J Nutr 1977;38:261-9. 53. Hallberg L, Rossander L. Effect of different drinks on the absorption of non-heme iron from composite meals. Hum Nutr Appl Nutr 1982;36:116-23. 54. Kaltwasser JP, Werner E, Schalk K, et al. Clinical trial on the effect of regular tea drinking on iron accumulation in genetic haemochromatosis. Gut 1998;43:699-704. 55. Derman D, Sayers M, Lynch SR, et al. Iron absorption from a cereal-based meal containing cane sugar fortified with ascorbic acid. Br J Nutr 1977;38:261-9. 56. Hallberg L, Rossander L. Effect of different drinks on the absorption of non-heme iron from composite meals. Hum Nutr Appl Nutr 1982;36:116-23. 57. Morck TA, Lynch SR, Cook JD. Inhibition of food iron absorption by coffee. Am J Clin Nutr 1983;37:416-20. 58. Bezwoda WR, Torrance JD, Bothwell TH, et al. Iron absorption from red and white wines. Scand J Haematol 1985;34:121-7. 59. Cook JD, Reddy MB, Hurrell RF. The effect of red and white wines on nonheme-iron absorption in humans. Am J Clin Nutr 1995;61:800-4. 60. Hallberg L, Hulthen L. Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr 2000;71:1147-60. 61. Sandberg A-S, Brune M, Carlsson N-G, et al. Inositol phosphates with different numbers of phosphate groups influence iron absorption in humans. Am J Clin Nutr 1999;70:240-6. 186 Glen Swartwout 62. Hallberg L, Brune M, Rossander L. Iron absorption in man: ascorbic acid and dose-dependent inhibition by phytate. Am J Clin Nutr 1989;49:140-4. 63. Simpson KM, Morris ER, Cook JD. The inhibitory effect of bran on iron absorption. Am J Clin Nutr 1981;34:1469-78. 64. Hallberg L, Brune M, Erlandsson M, et al. Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans. Am J Clin Nutr 1991;53:112-9. 65. Hallberg L, Rossander-Hulthén L, Brune M, Gleerup A. Inhibition of haem-iron absorption in man by calcium. Br J Nutr 1992;69:533-40. 66. Cook JD, Morck TA, Lynch SR. The inhibitory effect of soy products on nonheme iron absorption in man. Am J Clin Nutr 1981;34:2622-9. 67. Hallberg L, Rossander L. Effect of soy protein on nonheme iron absorption in man. Am J Clin Nutr 1982;36:514-20. 68. Cook JD, Monsen ER. Food iron absorption in human subjects. III. Comparison of the effect of animal proteins on nonheme iron absorption. Am J Clin Nutr 1976;29:859-67. 69. Rossander L, Hallberg L, Bjorn-Rasmussen E. Absorption of iron from breakfast meals. Am J Clin Nutr 1979;32:2484-9. 70. Hallberg L. Bioavailability of dietary iron in man. Annu Rev Nutr 1981;1:123-47 [review]. 71. Layrisse M, Martinez-Torres C, Roche M. Effect of interaction of various foods on iron absorption. Am J Clin Nutr 1968;21:1175-83. 72. Cook JD, Monsen ER. Food iron absorption in human subjects. III. Comparison of the effect of animal proteins on nonheme iron absorption. Am J Clin Nutr 1976;29:859-67. 73. Bjorn-Rasmussen E, Hallberg L. Effect of animal proteins on the absorption of food iron in man. Nutr Metab 1979;23:192-202. 74. Hallberg L, Rossander L. Improvement of iron nutrition in developing countries: comparison of adding meat, soy protein, ascorbic acid, citric acid, and ferrous sulphate on iron absorption from a simple Latin American-type of meal. Am J Clin Nutr 1984;39:577-83. Materia Medica 75. Hunt JR, Gallagher SK, Johnson LK. Effect of ascorbic acid on apparent iron absorption by women with low iron stores. Am J Clin Nutr 1994;59:1381-5. 76. Hallberg L, Brune M, Rossander L. The role of vitamin C in iron absorption. Int J Vitam Nutr Res Suppl 1989;30:103-8. 77. Lynch SR, Cook JD. Interaction of vitamin C and iron. Ann N Y Acad Sci 1980;355:32-44. 78. Hallberg L, Brune M, Rossander L. Effect of ascorbic acid on iron absorption from different types of meals. Studies with ascorbic-acid-rich foods and synthetic ascorbic acid given in different amounts with different meals. Hum Nutr Appl Nutr 1986;40:97-113. 79. Hunt JR, Gallagher SK, Johnson LK. Effect of ascorbic acid on apparent iron absorption by women with low iron stores. Am J Clin Nutr 1994;59:1381-5. 80. Suharno D, West CE, Muhilal, et al. Supplementation with vitamin A and iron for nutritional anemia in pregnant women in West Java, Indonesia. Lancet 1993;342:1325-8. 81. Semba RD, Muhilal, West KP Jr, et al. Impact of vitamin A supplementation on hematological indicators of iron metabolism and protein status in children. Nutr Res 1992;12:469-78. 82. Macfarlane BJ, van der Riet WB, Bothwell TH, et al. Effect of traditional oriental soy products on iron absorption. Am J Clin Nutr 1990;51:873-80. 83. Baynes RD, Macfarlane BJ, Bothwell TH, et al. The promotive effect of soy sauce on iron absorption in human subjects. Eur J Clin Nutr 1990;44:419-24. 84. Charlton RW, Jacobs P, Seftel H, Bothwell TH. Effect of alcohol on iron absorption. Br Med J 1964;5422:1427-9. 85. Hallberg L, Rossander L. Effect of different drinks on the absorption of non-heme iron from composite meals. Hum Nutr Appl Nutr 1982;36:116-23. 86. Finley JW. Manganese absorption and retention by young women is associated with serum ferritin concentration. Am J Clin Nutr 1999;70:37-43. 87. Davis CD, Malecki EA, Gerger JL. Interactions among dietary manganese, heme iron, and nonheme iron in women. Am J Clin Nutr 1992;56:926-32. 188 Glen Swartwout Low levels of iron are associated with increased longevity. If you need to take a specific iron supplement, try Ferrasorb. Because iron is hard to absorb, most iron supplements cause constipation. Not Ferrasorb, due to its high absorbability. How Can You Boost Iron Absorption? If you have had your blood tested and you know you are not getting enough iron, then eating a diet of ironrich foods is the best next step. The Recommended Dietary Allowance for iron is 10 mg daily for men and postmenopausal women and 15 mg for women of childbearing age. Women need more iron daily to replace the iron lost each month during menstruation. Pregnant women need 18 mg daily (and sometimes more). The body absorbs only about twenty percent of the iron available in vegetarian sources. You can increase the amount of iron that is absorbed by eating foods high in vitamin C along with foods high in iron. Vegetables such as broccoli, Brussels sprouts, cabbage, cauliflower, dark leafy greens,kohlrabi, organic potato (white), sweet pepper, and organic tomatoes are all good sources of vitamin C. The best fruit sources of vitamin C are cantaloupe, guava, honeydew melon, mango, strawberries, and watermelon. More Tricks For Iron Another way to promote iron absorption is to eliminate coffee with meals, especially when eating foods that contain significant amounts of iron. Coffee has been shown to decrease iron absorption by as much as 39 percent and tea by 64 percent. This is thought to be due to tannins and other substances that bind with the iron and make it less absorbable. This effect has been shown to occur even when coffee was consumed one hour after the meal. Adding milk to coffee further decreases iron absorption. Materia Medica You can partially counteract this effect with vitamin C rich foods, but why not enjoy a glass of orange juice with your breakfast instead of a cup of coffee? Cooking with cast iron pots can significantly increase the iron content of food. This is especially true when cooking acidic foods like tomatoes. Dried beans and dark leafy green vegetables are especially good sources of iron, better on a per calorie basis than meat. Iron absorption is increased markedly by eating foods containing vitamin C along with foods containing iron. Heme vs. Non-heme Iron Iron is an essential nutrient because it is a central part of hemoglobin, which carries oxygen in the blood. Iron deficiency anemia is a worldwide health problem, which is especially common in young women and in children. Iron is found in food in two forms, heme and non-heme iron. Non-heme iron, 60 percent of the iron in animal tissue and all the iron in plants (fruits, vegetables, grains, nuts) is less absorbed. Vitamin C acts to markedly increase absorption of non-heme iron. Adding a vitamin C source to a meal increases non-heme iron absorption up to six-fold which makes the absorption of non-heme iron as good or better than that of heme iron. Fortunately, many vegetables, such as broccoli and bok choy, which are high in iron are also high in vitamin C so that the iron in these foods is very well absorbed. Commonly eaten combinations, such as beans and tomato sauce or stir-fried tofu and broccoli, also result in generous levels of iron absorption. Both calcium and tannins (found in tea and coffee) reduce iron absorption. Tea should be used several hours before a meal that is high in iron. FOOD IRON (mg) 190 Glen Swartwout organic Soybeans, cooked 1 cup 8.8 Blackstrap molasses 2 Tbsp 7.0 Lentils, cooked 1 cup 6.6 Tofu 4 oz 0.7-6.6 Quinoa, cooked 1 cup 6.3 Kidney beans, cooked 1 cup 5.2 Chickpeas, cooked 1 cup 4.7 Lima beans, cooked 1 cup 4.5 Pinto beans, cooked 1 cup 4.5 Black-eyed peas, cooked 1 cup 4.3 Swiss chard, cooked 1 cup 4.0 Tempeh 1 cup 3.8 Black beans, cooked 1 cup 3.6 Turnip greens, cooked 1 cup 3.2 Prune juice 8 oz 3.0 Spinach, cooked 1 cup 2.9 Beet greens, cooked 1 cup 2.7 Tahini 2 Tbsp 2.6 Raisins 1/2 cup 2.2 Cashews 1/4 cup 2.0 Figs, dried 5 medium 2.0 Seitan 4 oz 2.0 (not recommended due to extreme gluten content)) Bok choy, cooked 1 cup 1.8 Bulgur, cooked 1 cup 1.7 Apricots, dried 10 halves 1.6 Tomato juice 8 oz 1.4 Almonds 1/4 cup 1.3 Peas, cooked 1 cup 1.3 Green beans, cooked 1 cup 1.2 Kale, cooked 1 cup 1.2 Sesame seeds 2 Tbsp 1.2 Sunflower seeds 1/4 cup 1.2 Broccoli, cooked 1 cup 1.1 Brussels sprouts, cooked 1 cup 1.1 Materia Medica Millet, cooked 1 cup 1.0 Prunes 5 medium 1.0 Watermelon 1/8 medium 1.0 [Sources: USDA Nutrient Data Base for Standard Reference, Release 12, 1998. Manufacturer's information. The RDA for iron is 10 mg/day for adult men and for post-menopausal women and 15 mg/day for premenopausal women.] Comparison of Iron Sources: FOOD IRON (mg/100 calories) Spinach, cooked 5.4 Collard greens, cooked 3.1 Lentils, cooked 2.9 Broccoli, cooked 2.1 Chickpeas, cooked 1.7 Figs, dried 0.8 Flounder, baked 0.3 Not Getting Enough Iron Iron deficiency is the most prevalent nutrient deficiency in this country. It is estimated to affect about ten percent of the population. Pregnant women, women of childbearing age, teenage girls, and infants are at highest risk of not getting enough iron. It can lead to anemia,fatigue, irritability, headaches, and lack of energy. To prevent iron deficiency, every effort should be made to maximize iron from food sources. A good diet will safely help decrease the risk of inadequate iron and at the same time cause the least potential damage to those at risk for iron excess. A well-planned vegetarian diet provides adequate iron. Boosting Iron Absorption Eating a varied diet with emphasis on iron-rich foods is a good start to getting enough iron. Dried beans, dark green leafy vegetables, blackstrap molasses, bulgur, and prune juice are good vegetarian sources of iron. Supplements vs. Food 192 Glen Swartwout Iron supplements can do more harm than good. Iron supplements should be taken only with the advice of a physician in cases where iron deficiency or an increased need for iron has been diagnosed. During pregnancy low-dose iron supplements are commonly recommended because it is difficult to meet iron needs through diet alone. The golden rule, still, is that it is best to get the nutrients your body needs, including iron, from the food you eat. A well-planned diet can provide adequate iron, minimizing the risk of iron deficiency. Iron Deficiency Anemia versus Iron Overload Pale skin vs Dark, bronze skin: iron storage Fatigue: especially mental; frequent naps vs Fatigue Cold extremeties vs Elevated liver enzymes, cholesterol Craving for acid foods, e.g. tomato vs Elevated sugar Lack of infections vs Frequent infections Rubidium Rubidium is thought to be physiologically active as an M-state mineral. Rubidium is found in the rocks and seawater as well as the human body, which normally contains about 350 mg. Rubidium is not yet considered essential. Rubidium is chemically similar to potassium and while some animals can use it instead of potassium for certain functions, this is not known to be true for humans. Rubidium might be a potassium antagonist for absorption and utilization. Rubidium absorption via the intestines is about 90% and it is found spread throughout the body, with the lowest level in bone and dental tissue. Any extra rubidium is eliminated primarily by the kidneys. Sources: Food sources of rubidium are not well researched. Some fruits and vegetables have about 35 ppm. Rubidium may also be in some waters. Rubidium supplements are available through Remission Foundation both as pills and a liquid. Functions: No essential functions of rubidium are known yet. In studies with mice, rubidium decreases tumor growth, perhaps by replacing potassium in cellular transport systems or by attaching to cancer cell Materia Medica membranes. Rubidium is extremely alkalizing. Rubidium may have a tranquilizing or hypnotic effect in some animals and humans. Uses: There are no mainstream uses for rubidium yet. Its tranquilizing effect could help in the treatment of nervous disorders and epilepsy. It has been used for alkalizing in cancer support and research. Deficiency and toxicity: Rubidium deficiency and toxicity are not well understood. Rubidium deficiency depresses growth and life expectancy in goats. Rubidium deficiency may increase cancer. Requirements: There is no RDA for rubidium. The average dietary intake could be around 1.5 mg per day (typical range 1 to 5 mg). Rubidium is higher in certain foods including coffee, black tea, fruits, vegetables (particularly asparagus), poultry and fish. Rubidium is typically high in volcanic soils. (Dr. A. Keith Brewer, High pH Cancer Therapy With Cesium, page 17) Reference: Staying Healthy with Nutrition: The Complete Guide to Diet and Nutritional Medicine by Elson M. Haas M.D. Osmium Osmium is thought to be toxic in its M-state, but is reportedly used in superconducting energy storage technologies. Non-toxic homeopathically potentized doses of M-state Osmium are likely to be highly energetically active physiologically in the spirit body's energy system. Exploratory research is needed, and intended through Makamaka University. Lanthanides & Actinides The Lanthanide and Actinide series minerals are important in Far Infrared healing technologies because of their broad band resonance emitting across the Far Infrared spectrum. FIR therapy shall be covered in depth in Anima Medica, Volume II, the companion to this volume in the Vis Medicatrix Naturae set. Trace Mineral Analysis Licensed clinical laboratories perform over 150,000 hair mineral assays for health care professionals in America. According to the Environmental Protection Agency, human hair can be effectively used for biological monitoring of the highest priority toxic metals. Abnormal levels of nutrient minerals like Calcium 194 Glen Swartwout and Iron also show much earlier in hair than blood. The hair represents impact on both intracellular metabolism and excretion process, while the blood is maintained as long as possible at normal levels. One of my favorite trace element laboratories has developed advanced methods for: Determining eight (8) biochemical types Identifying Sympathetic and Parasympathetic patterns Relating nutritional, neurological and endocrine patterns Seeing endocrine, biochemical and nutritional interactions Recognizing sympathetic versus parasympathetic effects of different nutrients Dealing with complex vitamin/mineral, mineral/mineral and vitamin/vitamin relationships Formulating metabolic support for these patterns. Laboratory techniques used are state of the art including: Inductively Coupled Plasma Mass Spectrometry (ICP-MS) Uniform Microwave Digestion Technique Laboratory Clean Room Automated Quality Control Software (AQC) Sample Collection Procedure Scalp hair is the standard for trace mineral assay. Pubic or other body hair is only used if no scalp hair is available or for confirmation of elevated toxic metals when possible external contamination of scalp hair is suspected. Wait for about 2 months to collect a sample after the hair has been permed, dyed or bleached. Wash off any gels, oils or hair creams before collecting a sample. If you may be exposed to environmental or occupational contaminants such as from welding or mining, be sure to wash your hair immediately prior to sample collection. Collect at least four or five small samples from different locations on the back of the head, including the nape of the neck, posterior vertex and posterior temporal areas. Cut the sample as close to the scalp as possible using high-grade stainless steel scissors or thinning shears. The maximum length of the hair sample should be 1.5 inches. The proximal portion (closest to the roots) is Materia Medica used as the sample and the ends are discarded. This recent hair growth will reflect the body's recent metabolic activity. The minimum weight for the hair sample is 0.125 Gram (about a full teaspoon), which can be easily measured with the supplied Weight Scale Card. Place the hair in the supplied hair sample envelope and seal the flap. Each hair sample must be submitted with a complete laboratory form signed by the health professional. Report Your Trace Mineral Analysis includes: A copy of your test results with a graph illustrating the mineral levels and ratios. A complete individual evaluation and detailed discussion of your metabolic type, mineral levels and ratios, and their relationship to your body chemistry. Recommendation of specific foods and food groups with explanations for each suggestion. Supplement recommendations taking into account your age, sex, metabolic type, mineral patterns and specific need seen on your tissue mineral analysis, any accompanying clinical test data and your history. For more information, visit http://www.traceelements.com/ Another favorite lab is at http://doctorsdata.com/home.asp Years ago when I practiced in New York, there was a complaint by another physician because I identified a teenage girl's high risk for acute pancreatitis months before she was first hospitalized for this condition. The girl's mother wondered why her Doctor of Optometry was able to correctly identify the issue even before the symptoms appeared, when her other physicians seemed to have no useful clues. New York State's solution was to ban trace mineral hair analysis, and that administrative ruling stands to this day. I guess the government applies the concept of "First do no harm" when it comes to protecting the economic turf of wealthy lobbies, like doctors... 196 Glen Swartwout Chelation of Toxic Minerals Chelation-agents: Hemoglobin Chlorophyll Vitamin C Weak organic acids like lactic acid (from sustained exercise or produced by Friendly Flora), Succinic acid, Humic acid, Fulvic acid Cysteine - an amino acid IP-6 NAC Melatonin EDTA: Ethylene Diamine Tetra-acetic Acid: FDA-approved synthetic amino acid treatment for lead, mercury, aluminum and cadmium toxicity; helps clean blood vessels of calcium and plaque; essentially nontoxic DMSA (used orally or intravenously): Meso-2,3-Dimercaptosuccinic Acid, Chemet or Succimer: watersoluble, low-toxicity (used in children; safer than DMPS) DMPS (used intravenously): Dimercaptopropane Sulfonate or 2,3-Dimercaptopropane Sulfonic Acid (water-soluble); European chelator, not approved by FDA Methyl Sulfonyl Methane (MSM) Chitosan and MicroChitosan Kelp Chlorella Materia Medica PCA-Rx: Distilled water, Micro activated algae extracts, lipopolysaccharides, Algenic, Ferulic and Lipoic acids,12 beneficial flora ferments including lactobacillus bulgaricus, acidophilus salivarus, streptococcus hemophilus subspecies, beneficial soil bacteria and hydrated silica in a collodial matrix ($125/1 oz. ) NDF and NDF-Plus: Nanocolloidal Detox Factors is a sulfur-less dietary supplement made from organic raw and whole food products for heavy metal detoxification and immune system support. NDF-Plus is stronger, containing fulvic acid complexes and other concentrates. Both bind heavy metals to chlorella, eliminating mainly via the kidneys, while other chelators eliminate mainly via the bowels. Symptom checklist: Alzheimer's disease Angina Arthritis Cancer Cardio-vascular disease Cataract Cerebrovascular disease Cold extremities Confusion Coronary artery disease Degenerative disease Dementia Diabetes Diabetic gangrene Glaucoma Hardening of the arteries Hearing problems Heart problems Heaviness in a limb High blood pressure Impotency Kidney disorders Macular degeneration 198 Glen Swartwout Memory loss Numbness Peripheral vascular disease Poor circulation Ringing in ears Senility Shortness of breath with slight exertion Stroke Vericose veins Vision impairment Potential benefits of chelation: Dilates constricted arteries Reduces high blood pressure Diminishes free radical activity Improves uptake of oxygen to the cells Removes toxic heavy metals from the body Improves memory Relieves pain in the extremities Increases elasticity of blood vessels Improves blood flow to the heart, brain, body organs, and legs Improves enzyme activity. America’s #1 Health Problem The list of symptoms above includes most of the major causes of both disability and death in America today. According to statistics from the American Heart Association 60,000,000 Americans were affected by cardiovascular diseases like hypertension, coronary heart disease, stroke and rheumatic heart disease in 1993 and 954,138 died as a result. In fact, they estimate that 84 percent of all disease caused deaths in this country are the result of the hardening of the arteries. The cost of medical care just for heart disease alone in America is over $40 billion a year, and yet with all this spending, it still takes its toll, accounting for 54. 7 percent of all deaths in our country each year. Materia Medica Atherosclerosis, or hardening of the arteries, starts when the inner cellular membrane of the arteries gets damaged by heavy metals or other toxins and lack of optimum levels of Vitamin C and organic sulfur in the blood plasma prevents immediate repair. This damaged area allows low-density lipoproteins (LDL or ‘bad cholesterol’), often present at high levels due to lack of exercise and poor diet, in the plasma cross the endothelial cell layer of the artery at a point where an injury has occurred and are deposited in the subendothelial layer. Monocytes are next attracted to the site of injury, migrating into the subendothelial layer, where they convert to macrophages, engulfing the LDL to become foam cells, which form a fatty streak at the injury site. Then platelets, part of the clotting, or damage control system, come to the rescue. They build up a temporary patch and attract substances to bind to them, forming an arterial plaque. The accumulation of foam cells can eventually rupture the endothelial lining causing platelets to aggregate at the site thus forming a fibrous plaque. Platelet growth factor is released, stimulating smooth muscle cell proliferation and the deposition of even more LDL. Smooth muscle cells produce collagen and form a fibrous, collagen-rich cap or plaque over the site. At this stage the plaque contains toxins, cholesterol, lipid particles, and the debris from dead cells, calcium and fibrin. The smooth muscle cell proliferation can also result in an infiltration into the intima of the arterial wall, forming an atheroma (literally, a swelling or ‘tumor’ of the blood vessel wall). If the atheroma continues to enlarge, small blood vessels surrounding it will also rupture and bleed, leading to calcification inside the atheroma. Enlargement of the atheroma also presses inward, narrowing the arterial lumen (opening). Over time, calcium is also deposited in the plaque, acting like a cement to hold the other substances together, just like it does in healthy connective tissues. Ultimately, arterial plaque is like a plaster cast the body produces to strengthen the damaged area of the artery until it has the proper ingredients to repair the damage, including the elimination of the original toxin that started the damage. Note that one of the key ingredients needed to repair the initial damage is Vitamin C. In fact, most animals don’t get atherosclerosis, since they are able to produce vitamin C in their own bodies, while the human body must rely on food and food supplement sources. The only way people can achieve the protective levels of vitamin C produced by animals is to supplement rather high doses of Vitamin C, with the nonacidic poly-ascorbate form (like Triple Ascorbate C) being the best tolerated, absorbed, utilized and retained, especially in high doses. In addition to his intense interest in the role of Vitamin C, Linus Pauling also did work on the role of Lysine as the specific amino acid to which plaque attaches. Providing increased levels of this amino acid in the blood may play a role in the solubilizing and removal of the plaque to permit repair to be completed. Also, 200 Glen Swartwout lecithin plays a role in maintaining the solubility of the fats after they are pulled off the artery wall so they don’t merely reattach at another site before the liver breaks them down for removal. Chitosan, through its electromagnetic attraction of fats and bile acids is also crucial in the final stage of this elimination chain, as it prevents re-uptake in the lower bowel. This then stimulates the liver to continue utilizing new fats being delivered from the arteries in the production of bile. Alternatives: You have the right to choose how you want to treat your own body. In order to fully exercise that right, you must be informed about the alternatives and choices that exist. In the landmark case of Union Pacific Ry. v. Botsford, 141 U.S. 250, 251 (1891), the Supreme Court recognized this right of the individual to control his or her own body in stating: “No right is held more sacred, or is more carefully guarded, by the common law than the right of every individual to the possession and control of his own person, free from all restraint or interference of others...” To counterbalance the information you are likely to get from most conventional sources, lets take a fresh look at how America treats cardiovascular disease. Conventional coronary artery bypass surgery (cost: about $35,000) The average mortality rate for CABG (Coronary Arterial By-pass Graft) surgery is 4% to 10%. It also results in a high incidence of disability due to cerebral dysfunction induced during the procedure itself (much of it perhaps from the general anesthesia), as well as kidney failure, heart attacks, strokes, blood clots, permanent brain damage, personality changes and prolonged pain, with serious complications affecting 8%. The technical failure rate for iliac and femoral angioplasties is up to 50%. This is especially significant when you consider that over 400,000 bypasses and other invasive heart operations are performed every year. For all the risk, such conventional treatments only address a few inches of the largest blood vessels that are blocked and 80% of all bypass grafts clog up again within 7 years. And in many patients, the smaller blood vessels are the most severely damaged. Since there are 75,000 miles of these smaller blood vessels in the human body, it makes more sense to use an approach that can clear and maintain all of them. When a vein is transplanted from the leg to the heart in coronary artery bypass surgery, the only benefit over medical therapy ever proven by properly controlled studies is pain relief in a minority of patients. Even this may not be due to the bypass graft itself since the procedure necessarily includes cutting the nerve fibers that transmit pain information from the heart and by reflex may stimulate spasms of the coronary arteries. After ten-years and $24 million, the National Institute of Health (NIH) concluded that bypass had no benefit for most patients compared to drug therapy. There was no statistical increase in either survival or Materia Medica quality of life. No reduction in heart attacks or improvement in work or reacreational abilities. The study funded by taxpayers’ money did not compare the effects of chelation therapy or any non-invasive natural therapies such as exercise, dietary intervention, supplementation or other lifestyle changes. Many people who undergo bypass later have repeat procedures as well. Grafted coronary arteries are more than 10 times as likely to clog up again after 3 years compared with coronary arteries that are not replaced with a graft. Transplants can malfunction or just wind up being smaller than needed, plus other blood vessels may also become filled with plaque. Ten years after surgery, 40% of bypass patients have had grafted vessels close up, plus another 30% have developed further coronary artery narrowing. After bypass, about 30 to 40% need a second operation within 5 years. Even three or more operations is not uncommon. Even by the standards of the medical establishment that promotes bypass, according to a study published in JAMA, only 56% of bypass surgeries are performed for appropriate reasons. In summary, according to Dr. Thomas A. Preston, professor of cardiology at the University of Washington School of Medicine and chief of cardiology at Pacific Medical Center: Coronary-bypass surgery “is the epitome of modern medical technology. Yet, as it is now practiced, its net effect on the nation's health is probably negative." Balloon angioplasty or ‘roto-rooter’ surgery (cost: about $12,000) These procedures are also risky and invasive, with little hope of long-term benefit. Most importantly, no cardiovascular surgery does anything to correct the underlying terrain or the disease process, which continues to do damage throughout the body. Intravenous chelation therapy (cost: about $100 per session; total about $3,000 to $5,000) This office procedure typically consists of 20 to 50 infusions (30 average, with some patients needing more than 100), each lasting three to four hours or longer, at least once a week for about 6 weeks to 6 months. This approach benefits every blood vessel in the body and has the advantage of being faster than the oral route. It consists of intravenous infusion of 500 to 1,000 ml of a solution with 50 mg EDTA (ethylene diamine tetraacetic acid) per kilogram of body weight, plus heparin, magnesium chloride, a local anesthetic (to prevent pain at the site of infusion), B-vitamins, and between 4 and 20 grams of vitamin C. The solution is infused slowly for 3 and a half to 4 hours, between one and three times weekly (according to a special issue of the ACAM journal, with a foreward by Linus Pauling). The possible side effects can include minor discomfort, nausea, dizziness, headache and rarely cardiac arrhythmia, tetany, kidney damage, decreased blood clotting, abnormal bleeding, thrombophlebitis, embolism, hypoglycemia, insulin shock, severe vasculitis, autoimmune related hemolytic anemia, dermatitis, pruritus, generalized eczema or clumping of 202 Glen Swartwout platelets. Contraindications may also include hypocalcemia, kidney impairment, certain allergic conditions, hypoglycemia, blood-clotting problems, congestive heart failure, liver impairment, and tuberculosis. Also, the liver and kidneys need to be working well in order to eliminate the waste products pulled out in chelation (according to Chelation Therapy: Plain Talk, by Robert D. Gutting, published by ACAM). Still, serious side effects occur in less than 0. 01% (1 in 10,000 patients) with over 6 million treatments completed on about 700,000 Americans over the last 40 years, making chelation over 300 times safer than bypass. When 19,000 cases of chelation were studied, about 86% showed significant improvement in circulation to the hands and feet. More than 90% of patients benefited after 35+ treatments if they also improved diet, exercise and smoking habits. Only 5% or less showed no clinical evidence of any improvement. The bottom line is that symptoms improve, blood flow increases to stressed organs, use of synthetic medications decreases, and the overall quality of life improves. At worst, even if chelation and other non-surgical therapies do not achieve adequate results, bypass still remains a choice. And any improvement may help the body recover better from the stress of surgery. One concern has been that chelation might overload the kidneys, which must eliminate the heavy metals and other toxins that are mobilized by the treatments. A recent study on 383 patients chelated with EDTA for chronic degenerative diseases showed significant improvement in kidney function following chelation. However, if kidney function is not normal at the outset, intravenous treatments are given more cautiously and with careful monitoring. While it is sometimes argued that not enough double blind studies have been done, the Congressional Office of Technology Assessment (OTA) reports that only 10 to 20 percent of all procedures currently used in medical practices have been shown to be effective by controlled trial. And a pilot double blind study of chelation has already been completed with strongly favorable results. Combine this with the fact that there have been no reported fatalities in this country under the ACAM protocol, and you have every reason to consider a clinical trial of chelation before rushing into surgery. Chelation is one of the mechanisms by which natural substances such as vitamins, minerals and enzymes work. It is a process basic to life itself and goes on naturally in our body at all times. For example, hemoglobin chelates iron, while chlorophyll is virtually identical except that it chelates magnesium. The word is derived from the Greek ‘chele’ which means claw, to describe how a chelator binds a mineral. Materia Medica History of Medical Chelation Chelation’s initial medical use in humans was in World War II when the British used a chelating agent, British Anti-Lewesite (BAL) as an antidote for poison gas. BAL is used in medicine still even now. The most prevalent chelating agent, however, is EDTA. After its discovery in Germany in the 1930’s, EDTA was first patented in the U.S. in 1948 by Frederick Bersworth, a Georgetown University biochemist, to remove lead in cases of toxic lead poisoning. It forms a stable ring structure when it binds to lead or other heavy metals (toxic minerals with a specific gravity over approximately 5. 0). EDTA is water-soluble and chelates only metallic ions that are dissolved in water. Physicians using it for this purpose in Detroit with industrial workers suffering from lead poisoning in a battery factory noticed some patients getting better vision, better hearing, decreasing chest pain, walking further and reduction of discomfort related to poor circulation. They reported that the improvements were more likely due to reduced arteriosclerosis rather than the effects of lead detoxification. Shortly thereafter, the U.S. Navy advocated chelation therapy for sailors who had absorbed lead while painting government ships and dock facilities. Physicians then observed that adults receiving EDTA chelation treatments who had atherosclerosis also experienced health improvements: diminished angina, better memory, sight, hearing, sense of smell and increased vigor. A number of physicians then began to treat individuals suffering from occlusive vascular conditions with chelation therapy and reported consistent improvements. Chelation therapy is still the treatment of choice for lead poisoning, often used in children with lead toxicity which can affect learning abilities, bone formation and many other body functions. Today, over 600 American physicians also use chelation therapy for its cardiovascular benefits, but note that the improvements do not normally occur for up to 3 months after a series of treatments is completed and that follow-up treatments may be recommended once or twice a month for long-term maintenance, to sustain improvement and prevent symptoms from recurring. Since 1964, however, despite additional research and documentation of benefits as well as continual refinement of the treatment protocols, chelation in the treatment of cardiovascular disease has remained controversial (i.e. rejected as a treatment option) among conventional heart surgeons (who do however gladly continue to provide surgical alternatives to chelation) and their medical colleagues who prefer to remain accepted by their peers. Possible benefits of chelation to be investigated in addition to heavy metal removal: 204 Glen Swartwout Collateral blood circulation Decreased blood viscosity Improved cell membrane function Improved intracellular organelle function Improved enzyme activity Improved cellular uptake of oxygen Decreased arterial vasospasm Decreased free radical formation Inhibition of the aging process Reversal of atherosclerosis Increased elasticity of blood vessels Improved blood flow to heart, brain, body organs and extremeties Decreased angina Reversal of gangrene Improvement of skin color Healing of diabetic ulcers Reduction of high blood pressure Improvements have been reported in: Arthritis Multiple sclerosis Parkinson's disease Psoriasis Alzheimer's disease Memory Vision Hearing Smell Muscle coordination Sexual potency Reduced pain in extremities What is needed scientifically is documented case reports and continued follow-up to show long-term benefits, such as angiograms or ultrasound tests to compare before and after intervention. Materia Medica Oral cardiovascular nutrition supplements (cost: about $100 to $300 per month; total about $1,000 to $3,000) Vitamins like beta carotene B1, B2, B3, B5, B6, B12, PABA, C, and E are frequently recommended for improving cardiovascular nutrition. A good support program should also include minerals like chromium, magnesium, manganese, selenium and zinc. More specific supplement programs may also contain some of the same chelating agents as I.V. chelation therapy (e.g. Vitamin C and EDTA) at about 10% of the cost, since a doctor’s time and office overhead are not involved. The principal advantages of oral chelation, beyond affordability, relate to the convenience of self-administration at home. Some proponents think that oral supplements may be able to reduce the risk of heart attack by as much as 85%. Oral chelation may take about 10 times longer to achieve results compared to I.V. chelation, but when there is time, and especially for purely preventive measures, this may be the best place to start. About 95% of the oral EDTA works to chelate heavy metals in the digestive tract, similar to the effect of Chitosan marine fiber. This prevents reabsorption, a process sometimes referred to in Biological Medicine as ‘toxic ping-pong,’ where the same toxins are recycled over and over between two organs, in this case the liver and the colon. The other 5% of the EDTA, along with most other ingredients, work primarily in the blood vessels and other body tissues to improve circulation, while assisting in detoxification and repair as well as in the reduction of free radical pathology. Absorption of EDTA is increased when taking it on an empty stomach, but this is usually not necessary since its main action orally is in the digestive tract. Richard Passwater, Ph.D. originally coined the term, “oral chelation." His book “The Chelation Way,” stated, “Orally administered chelation nutrients and pharmaceuticals behave well as disease preventive measures against those many forms of cellular degenerations comprising physical, chemical, thermal, emotional and mental stress in the body. If people living in industrialized Western societies were to apply the principles of preventive oral chelation therapy combined with the chelating benefits of aerobic exercise, it’s likely that the incidence of heart and blood vessel diseases would be cut from 54.7 percent of all deaths each year to one quarter of that figure." Noted health author, Dr. Morton Walker, says “Of the four books I have written about chelation therapy, information eliciting the greatest response came from readers has been on oral cardiovascular nutrients. People have repeatedly asked me to tell them about anitoxidants and chelating commercial nutrient formulas that they could take on their own . It appears that they want the benefits of chelation therapy, without the 206 Glen Swartwout monetary expense of the intravenous procedure and without having to spend 3 - 4 hours of time it takes for each treatment - besides the inconvenience of traveling to the chelating physicians who are located at a considerable distance, and the presumed unpleasantness of receiving EDTA through an intravenous feeding tube. From these readers, requests have come to me to investigate the oral formulas and I have done so. Cardiovascular nutritional formulas are among the hottest new products sweeping the health food industry. Commercial nutrient manufacturers are announcing cardiovascular oral programs that are formulated into novel food supplements. They are being especially constructed for cellular renewal, systemic rejuvenation, disease prevention, or as symptomatic remedies and although some have not been assayed by established medical authorities, most of them work well for their purposes. The reason is that these branded preparations are made up of nutritional ingredients with chelation purposes." (source: Atherosclerosis and Arteriosclerosis by Morton Walker, D.P.M. in Healthworld) What minerals are chelated? Divalent and trivalent minerals, in decreasing order of affinity to EDTA at a normal blood pH of 7. 4: Mineral & Valence-State: iron, ferric +++ mercury ++ copper ++ aluminum +++ nickel ++ lead ++ cobalt ++ zinc ++ iron, ferrous ++ cadmium ++ manganese ++ magnesium ++ calcium ++ Another mineral that is chelated is arsenic. Chelation of the transition metals, iron and copper, can be beneficial even though they are essential nutrients, because excess levels trigger free radical pathology, similar to that triggered by heavy metals. According to Dr. Cranton, author of Bypassing Bypass, free Materia Medica radical generating forms of iron and copper are released when blood clots form in blocked arteries. These free radicals then oxidize fatty acids to lipid peroxides, which generate a chain reaction called a free radical cascade. These oxidation reactions cause damage to arterial cell membranes resulting in plaque formation. Normally, iron is chelated by hemoglobin, protecting the body tissues from iron’s potent free-radical generating capacity, but when blood clots form, free ionic iron is released. Ionic iron has two electrons in its outer N orbitals plus 14 electrons in its M shell. That configuration allows ionic iron to accept up to three pairs of electrons from other molecules, oxidizing them in the process, and potentially generating free radicals in the process. As long as one pair of these electrons is left unbound, ionic iron remains highly reactive. When iron is dissolved in water at a pH of 7. 0 or more (e.g. plasma at pH 7. 4), its three pairs of electrons will bind to three OH groups of the water. The resulting ferric hydroxide is insoluble and precipitates, getting stuck in the arterial site where it was released. To remove this deposit by IV chelation therapy, EDTA chelates two out of the three pairs of electrons, producing a soluble but stable form at pH 7.4 so that it can be mobilized and excreted. Orally, vitamin C works to chelate, dissolve and mobilize iron deposits. In fact, it works so well that people with iron toxicity need to be cautious and start with relatively low doses of vitamin C to begin detoxifying gradually. Cardiovascular nutrition tends to take eight or ten times longer to achieve the observable benefits of IV chelation. That is because greater quantities or chelating agents can be administered through an intravenous infuser than may be swallowed. Elation! may be used for preventive health maintanance or as a nutritional complement before, during and after medical or surgical therapies. Dietary avoidance: refined sugars fatty and fried foods caffeine limit alcohol intake to less than four eight-ounce glasses of beer, four small glasses of wine, or two to three shot glasses of hard liquor in 24 hours if you are healthy (and much less if you suffer from a degenerative condition) Dietary enhancement through nutritional counseling and increased: vegetables 208 Glen Swartwout fruit fiber: Bran contains phytic acid (IP6) a chelator for mercury, lead and cadmium. J Agric Food Chem. 1999; 47(11):4714-7 supplements like DMSA, Elation!, Ester-C, Chitosan, Chromium, Energessence and StarGold to supplement vitamins, minerals, protomorphogens (found in glandulars), enzymes, amino acids, and other food supplements which may help to prevent arterial clogging and free radical pathology. Lifestyle: daily exercise to stimulate circulation and a chelation effect with lactic acid. The most efficient forms of cellular exercise are rebounding and FIR sauna. stress reduction smoking cessation (excellent herbal programs are available, such as SmokeFree) Nutrition Glossary: Vitamin A as a retinoic acid is essential for the normal structure and function of epithelial cells, including those lining the endothelium of the blood vessels, which protect the body from all kinds of environmental contamination. Nicotinic Acid (Vitamin B3) lowers blood levels of LDL cholesterol triglycerides. Vitamin C protects artery linings by making them more resistant to the kind of injury that permits plaque formation. Vitamin E is important in protecting cell membranes from oxidative destruction. Its your body's primary means of combating free radical chain reactions. Vitamin E, like vitamin C, pycnogenol and Microwater, is a reducing agent capable of donating electrons to electron-seeking compounds, such as free radicals. Magnesium is important for proper nerve, lung, and heart function. It also helps regulate blood pressure and relaxes smooth muscle in the arterioles to enhance blood flow to the tissues. It is nature’s calcium channel blocker, helping to regulate calcium handling, keeping it in the bones and out of the soft tissues and cells. Materia Medica Selenium is important for the protection of heart cells and other cells against oxidative damage. Selenium participates in the body’s antioxidant enzyme system, reducing peroxide levels in the cells. Sulphur, found in the amino acids L-Cysteine and DL-Methionine, as well as garlic, MSM and vitamins such as biotin and thiamin, plays an important role in some drug-detoxifying pathways as well as elimination of Mercury. Zinc is important for cell membrane structure and function, as well as immune function and wound healing, plus over different 70 enzymes. History of Chelation Therapy from The American College of Advancement in Medicine (ACAM) Position Statement Ethylenediaminetetraacetic acid ("EDTA") is a synthetic amino acid first used in the 1940's for treatment of heavy metal poisoning. It is widely recognized as effective for that use as well as certain others, including emergency treatment of hypercalcemia and the control of ventricular arrhythmias associated with digitalis toxicity. Studies by the National Academy of Sciences/National Research Council in the late 1960's indicated that EDTA was considered possibly effective in the treatment of occlusive vascular disorders caused by arteriosclerosis. Clinical experience with EDTA chelation therapy has convinced substantial numbers of licensed physicians in North America that it is a safe and effective treatment for atherosclerotic vascular disease, as it consistently improves blood flow and relieves symptoms associated with the disease in greater than 80% of the patients treated. As members of the medical profession are generally aware, the pathogenesis of atherosclerotic disease is extraordinarily complex. In its simplest terms, the rationale for its efficacy is that EDTA, in binding ionic metal catalysts and removing them from the body, reduces subsequent abnormal production of oxygen free radical reactive molecules and molecular fragments which react destructively with other molecules. Reference: E. M. Cranton, J. P. Frackelton, Free Radical Pathology in Age-Associated Diseases: Treatment with EDTA Chelation, Nutrition, and Antioxidants, Journal of Advancement in Medicine, Vol. 2, Nos. 1, 2, Spring/Summer, 1989. 1 210 Glen Swartwout There is now widespread agreement that EDTA removes metallic catalysts which cause excessive oxygen free radical proliferation, thereby reducing pathological lipid peroxidation of cell membranes, DNA, enzyme systems and lipoproteins and allowing the body's natural healing mechanisms to halt and often reverse the disease process. Steinberg, et al., state in the April 6, 1989, New England Journal of Medicine, 1989; 320(14):915-924, concerning Modifications of Low-density Lipoprotein That Increase Its Atherogenicity through free radical peroxidation, "oxidative modification is absolutely dependent on low concentrations of copper or iron in the medium and is therefore completely inhibited by ethylenediaminetetraacetic acid (EDTA)."2 Chelation therapy is considered by the licensed physicians who utilize it to be an effective first step alternative to surgical treatment for atherosclerotic vascular disease in most cases. In the instances where a licensed physician believes that bypass surgery or the interventional cardiac catheterization techniques of thrombolysis and balloon angioplasty are more appropriate, he or she will refer those patients out. These alternatives to chelation therapy though are not without their respective detractors and attendant risks. In September 1978 the Office of Technology Assessment ("OTA"), a branch of the United States Congress, aided by an advisory board composed of leading medical and university school faculty, published a report entitled Assessing the Efficacy and Safety of Medical Technologies. One portion of that report discussed the efficacy and safety of surgery for coronary artery disease, concluding as follows: Coronary artery bypass surgery is based on a scientific rationale and may be of measurable benefit to some patients. It is usually performed for angina pectoris and appears to give substantial relief from symptoms, but the extent to which this relief is an effect of surgery is not known. Limited studies suggest that coronary bypass surgery improves life expectancy significantly for only a small number of patients, with a particular type of coronary artery disease. Controlled studies have shown no improvement in life expectancy for patients studied (emphasis added). Id. at page 44. 3 The importance of this analysis is its recognition, though over 70,000 operations were performed in 1977, that the benefits of such surgery have yet to be demonstrated. 4 A more recent article in the New England Journal of Medicine (March 22, 1984) reported upon myocardial infarction and mortality in the coronary artery surgery study (CASS) randomized trial, and summarized as follows in the Abstract: Materia Medica Abstract: There were no statistically significant differences in the survival rate or in the myocardial infarction rate between subgroups of patients randomly assigned to medical and to surgical therapy when they were analyzed according to initial group assignment, number of diseased vessels, or ejection fraction. Therefore, as compared with medical therapy, coronary bypass surgery appears neither to prolong life nor to prevent myocardial infarction in patients who have mild angina or who are asymptomatic after infarction in the fiveyear period after coronary angiography. (emphasis added) 5 The necessity of heart surgery and the scheduling of such surgery has undergone substantial criticism of late by many in the medical community. Despite this criticism, in 1981 an estimated 110,000 patients underwent bypass surgery. By 1983 the annual number of operations had increased to 191,000, and by 1989 the number had soared to over 368,000. 6 As stated by Dr. Thomas A. Preston, professor of cardiology at the University of Washington School of Medicine and chief of cardiology at Pacific Medical Center: [Coronary-bypass surgery] is heralded by the popular press, aggrandized by our profession, and actively sought by the consuming public. It is the epitome of modern medical technology. Yet, as it is now practiced, its net effect on the nation's health is probably negative. The operation does not cure patients, it is scandalously overused, and its high cost drains resources from other important areas of need. (emphasis added) Fully half of the bypass operations performed in the United States are unnecessary. A decade of scientific study has shown that except in certain well-defined situations, bypass surgery does not save lives or even prevent heart attacks: Among patients who suffer from coronary-artery disease, those who are treated without surgery enjoy the same survival rates as those who undergo open-heart surgery (emphasis added). MD Magazine, Feb. 1995. In an article entitled The Appropriateness of Performing Coronary Artery By-Pass Surgery published by the American Medical Association in JAMA 1988, 260:505-509, the authors report the results of a randomized study conducted to determine the level of judiciousness currently being applied by physicians in performing coronary artery bypass surgery. The authors report that only fifty-six percent (56%) of the surgeries were performed for appropriate reasons. As stated in the abstract to this article, "eliminating the performance of [such] inappropriate procedures may lead to reductions in health care expenditures or to improved patient outcomes." 212 Glen Swartwout Balloon angioplasty is an alternative to venous grafting which is enjoying increased popularity among vascular surgeons. Experience with this technique, though, has shown that serious complications, including permanent renal failure, occur in up to 8% of cases and that technical failure rates for iliac and femoral angioplasties occur in up to 50% of cases. (emphasis added)7 Moreover, it must be remembered that both this technique and venous grafting are very point specific, in distinct contrast to chelation therapy, which benefits the entire vascular system. Furthermore, the costs associated with the various treatment modalities are widely disparate. A typical bypass surgery costs the patient in excess of $30,000.00, the usual balloon angioplasty over $12,000.00, and an average course of chelation treatments $3,000.00 to $5,000.00, including ancillary costs. The scientific rationale of chelation therapy is demonstrated in the before noted article of E.M. Cranton, M.D. and J.P. Frackelton, M.D. As stated in the Abstract: Abstract: Recent discoveries in the field of free radical pathology provide a coherent, unifying scientific basis to explain the many and diverse benefits reported from treatment with EDTA chelation therapy. The free radical concept provides a scientific basis for treatment and prevention of the major causes of disability and death, including arteriosclerosis, dementia, cancer, arthritis and numerous other diseases. EDTA chelation therapy, nutritional supplementation, physical exercise and moderation of health destroying habits all have common therapeutic mechanisms which reduce free radical causes of age-related diseases. Chelation therapy, like bypass surgery and angioplasty, is based upon a scientific rationale and is of measurable benefit to patients. There is no reason why surgery should be condoned, while chelation therapy is often condemned simply because it has not heretofore undergone large-scale, double-blind, placebo-controlled trials. As elaborated upon in the OTA report, only 10 to 20 percent of all procedures currently used in medical practices have been shown to be efficacious by controlled trial. 8 The efficacy of chelation therapy has been clinically demonstrated to thousands of doctors through positive results in hundreds of thousands of cases where this treatment was utilized. One pilot double blind study has already been completed with strongly favorable results. 9 The safety of this therapy, when properly administered, is not an issue. It is estimated that over 500,000 patients nationally have been safely treated with this therapy by physicians utilizing the protocol developed by the American College for Advancement in Medicine. 10 No reported fatalities have occurred in the United States when the ACAM protocol has been followed. Whenever chelation is used in its widely- Materia Medica accepted role to combat lead poisoning, the dosages given even to children are administered much more rapidly than those administered to adults under this protocol. The risks associated with surgical procedures are far greater by comparison. The Food and Drug Administration determined that EDTA chelation therapy was safe prior to approving the Investigational New Drug protocol for the ongoing double-blind placebo-controlled studies. It is the treating, clinical physician who is best acquainted with the patient's medical history, examination results, condition and needs. It is the attending physician who is in the best position to assess the condition (medical, socioeconomic, and psychological) of the patient as well as what constitutes the best treatment for the patient. Despite criticism in the form of opinions from physicians who characteristically have never utilized the treatment modality, not a single valid study has ever been shown to support or warrant such distraction. Physician Use of Innovative Therapies As noted earlier in this Position Paper, physicians who utilize chelation therapy are treating atherosclerotic vascular disease in accordance with sound scientific principles, and they should not be discriminated against for using safe and efficacious innovative therapies. When a physician becomes licensed by the state, the physician is recognized by the state as capable of the diagnosis and treatment of any human disease, pain, injury, deformity or other physical or mental condition. Such a licensed physician has the right, and indeed, the ethical duty, to treat a patient as he or she thinks best, within the parameters of his or her professional judgment and with the highest regard for the health and welfare of the public. It has long been held that deference must be given to the state of advancement of the profession at the time of treatment. Whether or not a particular therapy should be undertaken is a decision, which should be made by the treating physician, who is in the best position to determine whether EDTA chelation therapy is indicated for a particular patient. In Stuart v. Wilson, 211 F. Supp. 700 (D.C. 1963), aff'd, 371 U.S. 576, it was noted that "the requirements of learning, skill and examination provided by the Texas Medical Practices Act for obtaining a license to practice medicine bear a direct, substantial and reasonable relation to the practice of medicine." It seems incongruous that having demonstrated the required learning and skill, and having passed the examination 214 Glen Swartwout and obtained a license, a physician should not be permitted to exercise the judgment developed from his experience. Moreover, as one court has described the healing arts, medicine is an inexact science, and eminently qualified physicians may legitimately diverge in their beliefs as to what constitutes the best treatment. However, such a difference does not amount to unprofessional conduct. See Fitzgerald v. Manning, 679 F. 2d 341, 347 (4th Cir. 1982). This does not mean that the State is required to give credence to every peculiar theory or school of medicine."Without doubt, it is reasonable for the State to outlaw witch doctors, voodoo queens, beestingers and various other cults, which no reasonably intelligent man would choose for the treatment of his ills." England vs. Bd. of Medical Examiners, 259 F. 2d 626, 627 (5th Cir. 1958). Asking rhetorically, "Just where is the dividing line?" The England court held: Under all of the cases, we think it is that the State cannot deny to any individual the right to exercise a reasonable choice in the method of treatment of his ills, nor the correlative right of practitioners to engage in the practice of a useful profession. Id. at 627. The critical question, therefore, is whether or not EDTA chelation therapy is a reasonable choice of treatment modality. Given the fact alone that ACAM's membership of hundreds of doctors nationwide have successfully treated hundreds of thousands of patients with EDTA chelation therapy, it is difficult to fathom how anyone could assert that this treatment is not a reasonable choice of therapy. Merely because a particular method of treatment is not the method which is "prevailing" does not support a proposition that the method is ineffective or deceitful. A review of all of the available medical articles discloses that chelation therapy is firmly based upon accepted scientific principles and that both current professional theory and practice have demonstrated the efficacy of this treatment. An enlightening article entitled The Tomato Effect-Rejection of Highly Efficacious Therapies was published by the American Medical Association in JAMA, 1984; 251:2387-2390. In this article, Drs. James S. Goodwin and Jean M. Goodwin describe the tomato effect in medicine: The tomato effect in medicine occurs when an efficacious treatment for a certain disease is ignored or rejected because it does not "make sense" in the light of accepted theories of disease mechanism and drug action. The tomato was largely ignored because it was clearly poisonous; it would have been foolish to eat one. In analogous fashion, there have been many therapies in the history of medicine that, while later Materia Medica proved highly efficacious, were at one time rejected because they did not make sense.... We contend that the tomato effect is in its own way every bit as influential in shaping modern therapeutics as the placebo effect... Recognition of the reality of the tomato effect, while not preventing future errors, may at least help us better understand our mistakes. It would seem... that modern medicine is particularly vulnerable to the tomato effect. Pharmaceutical companies have increasingly turned to theoretical over practical arguments for using their drugs... What is lost in such discussions are the only three issues that matter in picking a therapy: Does it help? How toxic is it? How much does it cost? In this atmosphere we are at risk for rejecting a safe, inexpensive, effective therapy in favor of an alternative treatment perhaps less efficacious and more toxic, which is more interesting in terms of our latest views of disease pathogenesis. In an age when nearly half of the coronary artery bypass surgeries conducted in the United States are recognized as being conducted for inappropriate reasons and the efficacy of such surgery has been frequently called into question, in contrast to the successful experience physicians have had with chelation, it appears that the "tomato effect" has indeed taken place with chelation therapy. The efficacious use of this therapy in treating arteriosclerosis has been demonstrated in patients world-wide. It is only in recent years that the scientific rationale to explain the benefits of chelation therapy has been elucidated in published research on free radical pathology. In Rogers v. State Board of Medical Examiners, 371 So. 2d 1037 (Fla. App. 1979) aff'd, 387 So. 2d 937 (Fla. 1980), the court discussed the right of the State Board of Medical Examiners to prohibit a physician from administering chelation therapy. Acting Chief Judge Boyer noted that provisions of the Constitution grant a person certain inalienable rights, from which derive the right of a patient to receive, pursuant to a voluntary election, chelation therapy, and in the absence of unlawfulness, harm, fraud, coercion of misrepresentation, the Board was without authority to prohibit the physician from administering such therapy. Id, at 1041. Utilization of a therapy which is different is not unprofessional or unethical conduct. The converse would also hold true. General acceptance of a therapy does not mean that utilization of that therapy is necessarily professional or competent. Many therapies and treatments thought to be "proper" have now been abandoned as barbaric. The use of alternative means of treatment should not arbitrarily be deemed incompetent care. 216 Glen Swartwout Time and time again, especially in the field of medicine, experience has taught us that the orthodox view is not necessarily the correct view. As noted by Justice Boyer, and in the concurrence, Justices Melvin and Mills in Rogers, supra (emphasis added): History teaches us that virtually all progress in science and medicine has been accomplished as a result of the courageous efforts of those members of the profession willing to pursue their theories in the face of tremendous odds despite the criticism of fellow practitioners. Copernicus was thought to be a heretic when he theorized that the earth was not the center of the universe. Banishment and prison was the reward for discovery that the world was round. Pasteur was ridiculed for his theory that unseen organisms caused infection. Freud met only resistance and derision in pioneering the field of psychiatry. In our own era chiropractic treatment has been slow in receiving the approval of the other professions of the healing arts. We can only wonder what would have been the condition of the world today and the field of medicine in particular had those in the midstream of their profession been permitted to prohibit continued treatment and therapy and impede progress in those and other fields of science and the healing. Id, at 1041. Any restriction on the use of chelation therapy beyond prescribing conformity with the ACAM protocol is entirely unwarranted. EDTA chelation therapy has long been recognized by a substantial, respected minority of physicians as an acceptable method of treatment, provided that it is administered properly and adheres to the accepted standard of practice. One should not confuse the clear distinction existing between innovative therapy and experimentation. Experimentation has been defined as a procedure with no therapeutic intent, designed to test a hypothesis and/or to develop new knowledge. However, innovative therapy is one which is designed to benefit the individual patient and to manage or solve a particular clinical problem. EDTA has been utilized for nearly 50 years by physicians in this country for various symptoms and ailments. Physicians utilizing EDTA for vascular and other diseases are not intending to generate new knowledge but, rather, to treat the particular needs of the patient with the therapy he or she believes is most appropriate. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, established by Congress in 1974, has identified innovative therapies as those designed solely to enhance the wellbeing of an individual patient, even if such therapies are not approved by a peer group agency. See, DHEW Pub. No. (05)77-0004, 1977. A significant fear in allowing the use of innovative therapies concerns alleged risks to the patient. This is where the physician's intent comes into play. The intent to treat the individual patient's symptoms and needs, not advance the personal goals of the physician, allows the Materia Medica physician to determine the risk-benefit ratios involved. It also causes the physician to follow established protocols in the use of the innovative therapy, which will also protect the needs of the patient. While experimental research involving humans is subject to federal regulations, the use of innovative therapy is not. There is presently no regulation existing which prohibits or restricts the use of innovative therapies. If every innovative therapy needed prior institutional review board approval, an impossible caseload would be created and needed therapies would be delayed to the detriment of the patient. It is for the individual physician to determine whether the risks of a certain therapy are too great for the patient. This decision is to be made in light of alternative therapies and upon review of all relevant studies and literature. There is substantial objective evidence that EDTA chelation therapy is beneficial in the treatment of occlusive arterial disease as well as other diseases. Physicians using EDTA chelation therapy have determined that it is a safe and effective alternative to bypass surgery and other treatments, as demonstrated by the results from independent studies relating to blood flow. An excellent composite of numerous studies dealing with chelation therapy is EDTA Chelation Therapy: A Retrospective Study of 2,870 Patients, found in the Text. 11 The authors here chronicle the successful treatment of thousands of patients with chelation therapy. In their conclusion they state: "the results of this retrospective analysis suggest that chelation therapy with disodium magnesium EDTA was useful in the therapy of several thousand patients with chronic degenerative, especially cardiovascular, diseases." [This text] contains a series of clinical studies and analyses of other clinical studies that are original publications or republications, all of which are strongly supportive of chelation therapy. 12 Clinical studies, scientifically conducted by licensed physicians, must naturally be respected and relied upon in a pioneering area of treatment. It is ACAM's position that the efficacy of chelation therapy is supported better by clinical studies than even bypass surgery. Restriction to FDA Package Insert Guidelines is Inappropriate EDTA was originally approved by the FDA in July 1953 under a version of the Federal Food, Drug and Cosmetic Act which required that the drug be shown "safe", i.e. , that the benefits outweigh the risks. In 1962, the Act was amended so that any new drugs must be proven both safe and effective before they could be introduced into interstate commerce. The purpose behind the Act is to keep misbranded drugs out of the channels of interstate commerce. United States v. Evers, 643 F. 2d 1043 (5th Cir. 1981). It was clearly not intended to regulate the practice of medicine and was drafted so that nothing in the statute or the regulations thereunder would prevent a physician from prescribing a drug for a purpose for which it had not 218 Glen Swartwout been specifically approved. Id, at 1048. An unequivocal statement of the Act's policy of noninterference with the discretion of a treating physician was povided by the FDA itself: Once [an approved] new drug is in a local pharmacy after interstate shipment, the physician may, as part of the practice of medicine, lawfully prescribe a different dosage for his patient, or may otherwise vary the condition for use from those approved in the package insert, without informing or obtaining the approval of the Food and Drug Administration. This interpretation of the Act is consistent with the Congressional intent as indicated in the legislative history of the 1938 Act and the Drug Amendments of 1962. Throughout the debate leading to the enactment, there were repeated statements that Congress did not intend the Food and Drug Administration to interfere with medical practice and references to the understanding that the bill did not purport or regulate the practice of medicine as between the physician and the patient. Congress recognized a patient's right to seek civil damages in the Courts if there should be evidence of malpractice, and declined to provide any legislative restrictions upon the medical profession. United States v. Evers, supra, 643 F. 2d at 1048, quoting 37 Fed. Reg. 16503 (1972). The Alabama District Court explained a physician's freedom to utilize drugs in a manner not set forth upon the package insert as follows: It is well recognized that a package insert may not contain the most up-to-date information about a drug and the physician must be free to use the drug for an indication not in the package insert when such usage is part of the practice of medicine and for the benefit of the patient. Hopefully, the physician would welcome a well-documented package insert because he finds it useful because the information in it is supported by substantial documented evidence. However, the physician can ascertain from medical literature and from medical meetings new and interesting proposed uses for drugs marketed under package inserts not including the new proposed usages. The package insert's most important educational value derives from the fact that it is a well-reviewed, authoritative document. New uses for drugs are often discovered, reported in medical journals and at medical meetings, and subsequently may be widely used by the medical profession. But the Federal Drug Administration does not permit the package insert to be amended to include such uses unless the manufacturer submits convincing evidence to support the change. The manufacturer may not have sufficient commercial interest or financial wherewithal to warrant following the necessary procedures to obtain FDA approval for the additional use of the drug. When physicians go beyond the directions given in the package insert, it does not mean that they are acting illegally or unethically and Congress did not intend to empower the FDA to interfere with medical practice by limiting the ability of physicians to prescribe according to their best judgment. Materia Medica The drug-package insert only sets up guidelines, not parameters, for the use of medication. Many drugs are commonly used in a way not specifically listed on the drug enclosure. It is the physician, not the insert, that decides upon the method of treatment, for it is the physician and not the FDA who is treating the patient. The inserts are meant to impart information, not restrict the practice of medicine by those qualified to practice. Dr. John D. Archer of the American Medical Association, in a JAMA editorial, makes a similar observation: The FDA cannot approve or disapprove of how a legally marketed drug is used by a physician in his practice. The agency approves of what a manufacturer may recommend about uses in its labeling (package insert) and advertising. Failure to recognize this distinction can have various harmful results. The FDA Does Not Approve Uses of Drugs, JAMA, August 24:31, 1984, Vol. 252, No. 8. Furthermore, the Forward to the Physicians Desk Reference states in pertinent part as follows: The FDA has also announced that the FD & C Act "does not, however, limit the manner in which a physician may use an approved drug. Once a product has been approved for marketing, a physician may prescribe it for uses or in treatment regimens or patient populations that are not included in approved labeling." Thus, the FDA states also that "accepted medical practice" often includes drug use that is not reflected in approved drug labeling. Physicians Desk Reference, 46th Ed., Medical Economics Company, 1992 Consititutional Considerations in Restricting Choice in Medical Treatments The Right of Privacy Without question, the doctor-patient relationship has evolved in recent history from a state of strong paternalism to the era of self-determination largely existent today. At one time, doctors commanded and decided virtually all treatment options for a patient, with no obligation to consider the patient's values or decisions. The assumption existed that the physician unequivocally knew what was best for his or her patient and that the physician's decisions on the medical benefits or potential harms of a given treatment were dispositive factors in making treatment decisions. In recent history, however, paternalism has given way to an era of patient self-determination as consumers have become aware of treatment alternatives and the fact that different doctors favor different approaches, as well as the potentially profound effects that a treatment decision may involve. 220 Glen Swartwout Patients are increasingly asserting their right to be intimately involved in the decision-making process. As stated by J. Cardozo in Schloendorff v. Society of New York Hospital, 211 N.Y. 125, 105 N.E. 92, 93 (1914), "every human being of adult years and sound mind has a right to determine what shall be done with his own body." Through its adoption of the doctrine of informed consent, the judicial system has embraced the trend towards respecting the personal convictions and values of the individual. This fact was recited as a truism by the Court in Andrews v. Ballard, 498 F. Supp. 1038, 1048, which stated: [I]t is the inalienable nature of the right to decide to obtain or reject medical treatment, which forms the very basis of the requirement, enforced throughout America, that medical practitioners obtain their patients' informed consent prior to administering treatment. It is now well settled that American law generally protects the patient's right to choose among licensed practitioners to treat illnesses and, correspondingly, the right of licensed practitioners to determine within the scope of their licenses the appropriate treatment. In the early case of Union Pacific Ry. v. Botsford, 141 U.S. 250, 251 (1891), the Supreme Court recognized the right of the individual to control his own body in stating: No right is held more sacred, or is more carefully guarded, by the common law than the right of every individual to the possession and control of his own person, free from all restraint or interference of others, unless by clear and unquestionable authority of law. It has subsequently been held, as a matter not only of state common law but also of Federal constitutional law, that the special nature of the doctor-patient relationship precludes unjustifiable State intrusion with patients' rights to decide independently, with the advice of a physician, to obtain or reject medical treatment. Roe v. Wade, 410 U.S. 113 (1973). See also, Planned Parenthood v. Casey, 112 S. Ct. 2791, 2806 (1992), which provides: It is settled now... that the Constitution places limits on a State's right to interfere with a person's most basic decisions about family and parenthood, as well as bodily integrity (citations omitted; emphasis added). This judicial maxim derives from the Due Process Clause of the Fourteenth Amendment, which incorporates most of the Bill of Rights against the States. Id. at 2804. It is firmly established that the First Amendment has a penumbra where privacy is protected from governmental intrusion. Griswold v. Connecticut, 381 U.S. 479, 483 (1965). In Griswold, the Court held that the right to privacy was "no less important than any other right carefully and particularly reserved to the people" and that "a government purpose to control or prevent activities constitutionally subject to State Materia Medica regulation may not be achieved by means which sweep unnecessarily broadly, and thereby invade the areas of protected freedoms." Id. at 485. In Andrews v. Ballard, 498 F. Supp. 1038 (S.D. Tex. 1980), the Court expounded on the right of privacy in dealing specifically within the context of patients' rights to alternative medical treatments. After reviewing the Supreme Court jurisprudence, this court determined that two criteria must be met in order to identify those "decisions which will be recognized as among those that an individual may make without unjustified government interference." Id. at 1046. The court explained "first, they must be personal decisions that must primarily involve one's self or one's family. Second, they must be important decisions." Id. (citations omitted). In deciding if health care decisions among alternative medical therapies satisfied these criteria, the court elaborated: The decision to obtain or reject medical treatment, no less than the decision to continue or terminate pregnancy, meets both criteria. First, [such decisions] are, to an extraordinary degree, intrinsically personal. It is the individual making the decision, and no one else, who lives with the pain and the disease. It is the individual making the decision, and no one else, who must undergo or forego the treatment, and it is the individual making the decision, and no one else, who, if he or she survives, must live with the results of that decision. One's health is a uniquely personal possession. The decision of how to treat that possession is of no less personal nature. Second, it is impossible to discuss the decision to obtain or reject medical treatment without realizing its importance. The decision can either produce or eliminate physical psychological, and emotional ruin. It can destroy one's economic stability. It is, for some, the difference between a life of pain and a life of pleasure. It is, for others, the difference between life and death. Id. at 1046-1047. The Florida Supreme Court has specifically and unanimously upheld chelation therapy as a valid exercise of a physician's right to practice medicine. In State Board of Medical Examiners of Florida v. Rogers, 387 So. 2nd 937 (Fla. 1980) aff'g., 371 So. 2d 1037 (Fla. App. 1979), the Court held that the State Board of Medical Examiners was without authority to deprive a licensed physician's patients of the voluntary election to receive chelation therapy, as the State had not shown the therapy to be harmful. The fact that the therapy was not endorsed by the majority of the medical profession was unpersuasive. The Court observed: Although the State has the power to regulate the practice of Medicine for the benefit of the public health and welfare, this power is not unrestricted. The regulations imposed must be reasonably related to the public health and welfare and must not amount to an arbitrary or unreasonable interference with the right to 222 Glen Swartwout practice one's profession which is a valuable property right protected by the due process clause. Doe v. Bolton, 410 U.S. 179, 93 S. Ct. 739, 35 L. Ed. 2d 201 (1973); Dent v. West Virginia, 129 U.S. 114, 9 S. Ct. 231, 32 L. Ed. 623 (1889). Under the particular facts of this case, we conclude that the Board's action unreasonably interferes with Dr. Rogers' right to practice medicine by curtailing the exercise of his professional judgment to administer chelation therapy. The record before us fails to evidence harmfulness as a reasonable basis for the Board's action in restricting use of this treatment... The Board's findings do not support a conclusion of quackery, and the Stateimposed limitation on the administration of chelation treatment has not been shown by the evidence to have a reasonable relationship to the protection of the health and welfare of the public. Id., at 939-40. See also, Clair v. Centre Comm. Hosp., 317 Pa. Super. 25, 463 A. 2nd 1065 (1983); Vest v. Cobb, 76 S.E. 2d 885, 893 (W.Va.). Some states are taking affirmative legislative steps to explicitly safeguard and provide substantial deference to the treating physician's clinical judgment where patient harm is not an issue. In Alaska Code Annotated, Title 8, Chapter 64, Article 2, at Section 08. 64. 326, it expressly provides in pertinent part: The [Medical] board may not base a finding of professional incompetence solely on the basis that a licensee's practice is unconventional or experimental in the absence of demonstrably physical harm to a patient. Both the House and the Senate of the State of Washington supported a bill proposed by the House Committee on Health Care allowing the use of non-traditional treatment. This bill became law in June 1991. In its House Bill Report, the House Committee stated: The state medical disciplinary board has discriminated against physicians who practice alternative health care, considered non-traditional medicine. Many patients who receive no satisfaction with traditional medical care have gotten relief from physicians who practice under other theories, including holistic medicine. The Board should not discriminate unreasonably against these physicians as long as no harm is being done. Their patients demand a freedom to choose this health care that they believe is best for them, and this freedom is adversely affected by discrimination and harassment from state disciplinary authorities (emphasis added). HOUSE BILL REPORT, at 2 (1991). Of note is that the Washington State Medical Association also supported the enactment of this bill. Materia Medica Similarly, North Carolina amended its medical practice act effective in June 1993 to add the following language: The Board shall not revoke the license of or deny a license to a person solely because of that person's practice of a therapy that is experimental, non-traditional, or that departs from acceptable and prevailing medical practices unless, by competent evidence, the Board can establish that the treatment has a safety risk greater than the prevailing treatment or that the treatment is generally not effective. N. C. Gen. Stat. Section 90-14(a)(6). In recent years, the trend in federal constitutional law is clearly toward greater recognition that the patient's right to a choice of treatment is a fundamental right of privacy. Roe v. Wade, supra; Doe v. Bolton, supra; Planned Parenthood v. Casey, supra; and Andrews v. Ballard, supra. Considerable deference is accorded the patient's determination of what course of treatment to pursue, and there is judicial concern that decisions about personal health care be made by the patient in consultation with his or her physician, free from state regulation. The developments in both state and federal law recognize a "right to be let alone;" i.e. , that the final decision among alternative medical treatments - or between treatment and no treatment - belongs to the treated. See, Olmsted v. United States, 277 U.S. 438, 478 (1928). First Amendment Protection of Commercial Speech "[T]he best test of truth is the power of the thought to get itself accepted in the competition of the market..." Abrams v. United States, 250 U.S. 616, 630 (1919) (J. Holmes dissenting). This oft-quoted maxim of First Amendment jurisprudence provides some illumination on the genesis of the First Amendment's application to commercial speech. As stated later by the Supreme Court in the commercial context, "it is the purpose of the First Amendment to preserve an uninhibited marketplace of ideas in which truth will ultimately prevail..." Red Lion Broadcasting Co. v. F.C.C., 395 U.S. 388, 390 (1969); 89 S.Ct. 1794, 1806. "Commercial speech" is defined as that which proposes a commercial transaction. Bd. of Trustees of State Univ. of N.Y. v. Fox, 109 S.Ct. 3028, 3031 (1989). Although the question of whether Justice Holmes' "marketplace of ideas" postulation on free speech extended to the commercial arena was debated for some time, that question was "squarely before" the Court in Virginia Pharmacy Board v. Virginia Citizens Consumer Council, Inc., 425 U.S. 748, 760 (1976); 96 S.Ct. 1817, 1825. In concluding that commercial speech was entitled to protection under the First Amendment, the Court began its analysis with a review of 224 Glen Swartwout several propositions that were already "settled or beyond serious dispute." It was clear that paid advertisement constituted protected speech. Likewise, speech was protected even though it was carried in a form that was "sold" for profit "and even though it may involve a solicitation to purchase or otherwise pay or contribute money." Id. at 1825. In concluding that commercial speech was entitled to First Amendment protection, the Court reasoned that: As to the particular consumer's interest in the free flow of commercial information, that interest may be as keen, if not keener by far, than his interest in the days most urgent political debate. So long as we preserve a predominantly free enterprise economy, the allocation of our resources in large measure will be made through numerous private economic decisions. It is a matter of public interest that those decisions, in the aggregate, be intelligent and well informed. To this end, the free flow of commercial information is indispensable and if it is indispensable to the proper allocation of resources in a free enterprise system, it is also indispensable to the formation of intelligent opinions as to how that system ought to be regulated or altered. Therefore, even if the First Amendment were thought to be primarily an instrument to enlighten public decision making in a democracy, we could not say that the free flow of information does not serve that goal Id. at 1826-1827. Subsequent decisions have affirmed these principles. See Central Hudson Gas v. Public Service Com'n of N.Y., 447 US 557, 100 S.Ct. 2343, 2349 (1980) ("commercial expression not only serves the economic interest of the speaker, but also assists consumers and furthers the societal interest in the fullest possible dissemination of information"); Discovery Network, Inc. v. City of Cincinnati, 946 F. 2d 464, 469 (6th Cir. 1991), aff'd Cincinnati v. Discovery Network, Inc., 113 S.Ct. 1505, 123 L. Ed. 2d 99 (1993) ("commercial advertising is essential because it conveys information that permits each person to decide which trades and economic decisions are best for that person... As such, commercial speech also has a high value to the society as well"). It is thus unequivocal that commercial speech is protected under the First Amendment. This protection even applies when the speech communicates only an incomplete version of the relevant facts."The First Amendment presumes that some accurate information is better than no information at all." Bates v. State Bar of Arizona, 433 US 350, 97 S.Ct. 2691, 2704 (1977). No serious argument can be made that the practice of medicine does not involve commerce, consumers, marketing and money. The medical profession clearly involves numerous commercial transactions. Materia Medica Commercial speech is likewise inherently intertwined in the doctor-patient relationship. So long as such speech is not misleading, any state regulation affecting such speech is subject to judicial scrutiny. In Central Hudson Gas v. Public Service Com'n of N.Y. (1980), 447 US 562, 564; 100 S.Ct. 2343, 2350, the Court held that if a commercial speech communication "is neither misleading nor related to unlawful activity," a government regulation burdening such speech must satisfy the following test: The State must assert a substantial interest to be achieved by restrictions on commercial speech. Moreover, the regulatory technique must be in proportion to that interest. The limitation on expression must be designed to carefully achieve the State's goal. Compliance with this requirement may be measured by two criteria. First, the restriction must directly advance the state interest involved; the regulation may not be sustained if it provides only ineffective or remote support for the government's purpose. Second, if the governmental interest could be served as well by a more limited restriction on commercial speech, the excessive restrictions cannot survive. The Central Hudson Court explained that the careful design requirement on such limitations "recognizes that the First Amendment mandates that speech restrictions be "narrowly drawn." Id. at 2351. The Court also pointed out that speech restrictions that posed no danger to the asserted state interest or merely "conditional and remote eventualities" could not justify suppressive regulation. Id. at 2351, 2353. The Court also noted that regulations completely suppressing commercial speech were reviewed with "special care" and that "in recent years this Court has not approved a blanket ban on commercial speech unless the expression itself was flawed in some way, either because it was deceptive or related to unlawful activity. Id. at 2351, n. 9. The narrow tailoring requirement of the Central Hudson Test was further elaborated upon by the Supreme Court in Bd. of Trustees of State Univ. of N.Y. v. Fox (1989), 109 S.Ct. 3028. In Fox, the Court stated that the regulation must not "burden substantially more speech than is necessary to further the government's legitimate interest." Id. at 3034. The Court then explained that: What our decisions require is a "fit" between the legislature's ends and the means chosen to accomplish those ends - a fit that is not necessarily perfect, but reasonable; that represents not necessarily the single best disposition but one whose scope is "in proportion to the interest served," that employs not necessarily the least restrictive means but,... a means narrowly tailored to achieve the desired objective. We reject the contention that the test we have described is overly permissive. It is far different, of course, from the "rational basis" test used for Fourteenth Amendment equal protection analysis... Here we require 226 Glen Swartwout the government goal to be substantial, and the cost to be carefully calculated. Moreover, since the state bears the burden of justifying its restrictions, it must affirmatively establish the reasonable fit we require (emphasis provided). Id. at 3035. Thus, while the protection of the public health is concededly a substantial interest, the State bears the burden of demonstrating affirmatively that chelation therapy is inefficacious or unsafe if it intends to burden commercial speech on the matter. It is respectively posited that the State cannot succeed in this endeavor, given the safe and tremendously successful experience physicians have had in utilizing this therapy with their patients. Just as with the doctrine of the right of privacy, the underlying rationale with the commercial speech doctrine is simply a recognition that reasonable people are quite capable of deciding for themselves what is best for them. In responding to the Plaintiff's arguments regarding the need to protect the public, the Supreme Court in Virginia Pharmacy Board v. Virginia Citizen's Consumer Counsel, Inc., 96 S. Ct, 1817, 1829 (1976) summarily stated: There is, of course, an alternative to this highly paternalistic approach. That alternative is to assume that this information is not in itself harmful, that people will perceive their own best interests if only they are well enough informed, and that the best means to that end is to open the channels of communication rather than to close them ... It is precisely this kind of choice, between the dangers of suppressing information, and the dangers of its misuse if it is freely available, that the First Amendment makes for us. Conclusion As is apparent from the foregoing, it is ACAM's position that a more than sufficient quantum of evidence exists to support the use of EDTA chelation therapy as a safe and efficacious treatment modality and, thus, licensed physicians utilizing this therapy should not be impeded in their use of it with their patients. Under the common law, the State may not deny an individual the right to exercise a reasonable choice in medical care, nor the correlative right of licensed practitioners to provide such care, and the United States Constitution precludes unfair burdening of choice in treatment decisions. Under both the Doctrine of the Right of Privacy and the Commercial Speech Doctrine, substantial deference is given to the individual to make important decisions regarding his own body. As recently reiterated by the Supreme Court, "At the heart of [protected] liberty is the right to define one's own concept of existence, of meaning, of the universe, and of the mystery of human life." Planned Parenthood v. Casey, supra, 112 S.Ct. at 2807. Materia Medica ACAM's position as set forth herein is adopted not only for the medical profession, but more importantly, for the individual patients who can benefit from this treatment. *ACAM gratefully acknowledges the special contribution of its counsel, Gregory D. Seeley, Esq. , of Seeley, Savidge & Ausem in developing this position paper. Table of Legal Authorities Abrams v. United States, 250 U.S. 616 (1919) Andrews v. Ballard, 498 F. Supp. 1038 (S. D. Tex. 1980) Bates v. State Bar of Arizona, 433 US 350, 97 S.Ct. 2691 (1977) Bd. of Trustees of State Univ. of N.Y. v. Fox, 109 S.Ct. 3028 (1989) Central Hudson Gas v. Public Service Com'n of N.Y., 447 US 557, 100 S.Ct. 2343 (1980) Cincinnati v. Discovery Network, Inc., 113 S.Ct. 1505, 123 L. Ed. 2d 99 (1993) Clair v. Centre Comm. Hosp. , 317 Pa. Super. 25, 463 A. 2nd 1065 (1983) Dent v. West Virginia, 129 U.S. 114, 9 S.Ct. 231, 32 L. Ed. 623 (1889) Discovery Network, Inc. v. City of Cincinnati, 946 F. 2d 464 (6th Cir. 1991) Doe v. Bolton, 410 U.S. 179, 93 S.Ct. 739, 35 L. Ed. 2d 201 (1973) Fitzgerald v. Manning, 679 F. 2d 341 (4th Cir. 1982) Griswold v. Connecticut, 381 U.S. 479 (1965) Olmsted v. United States, 277 U.S. 438 (1928) Planned Parenthood v. Casey, 112 S.Ct. 2791 (1992) Red Lion Broadcasting Co. v. F.C.C. , 395 U.S. 388 (1969) Roe v. Wade, 410 U.S. 113 (1973) Rogers v. State Board of Medical Examiners, 371 So. 2d 1037 (Fla. App. 1979) 228 Glen Swartwout Schloendorff v. Society of New York Hospital, 211 N.Y. 125, 105 N. E. 92, 93 (1914) State Board of Medical Examiners of Florida v. Rogers, 387 So. 2nd 937 (Fla. 1980) Stuart v. Wilson, 211 F. Supp. 700 (D.C. 1963) Union Pacific Ry. v. Botsford, 141 U.S. 250 (1891) United States v. Evers, 643 F. 2d 1043 (5th Cir. 1981) Vest v. Cobb, 76 S. E. 2d 885 (W.Va.) Virginia Pharmacy Board v. Virginia Citizens Consumer Council, Inc., 425 U.S. 748 (1976); 96 S.Ct. 1817, 1825 Citations A copy of this article is contained in the book, "A Textbook on EDTA Chelation Therapy" Journal of Advancement in Medicine, Vol. 2, Nos. 1, 2, Spring/Summer, 1989, pp. 17-54 (hereinafter, this book will be referred to as "Text"). This combined issue is in print and copies are available through Human Sciences Press, Inc., 233 Spring Street, New York, NY 10013-1578. A free radical is defined as any atom or molecule in a particular state with one unpaired electron in outer orbit. The conversion of molecular oxygen to toxic oxygen radicals occurs by single electron transfer by the mitochondrial or microsomal electron transport chain or through oxidant enzyme systems, such as xanthine oxidase, aldehyde oxidase, flavin dehydrogenase, amine oxidase, cycloxygenase and lipooxygenase. See R.A. Hinder, J.H. Stein, Oxygen-Derived Free Radicals, Arch Surg 1991; 126:104-105. This article also refers to the implications of oxygen-derived free radicals in atherosclerosis and other diseases. Hereinafter referred to as"OTA Report at p. ___." OTA Report at p. 43. Myocardial Infarction and Mortality in the Coronary Artery Surgery Study (CASS) Randomized Trial, N. Eng. J. Med. 1984, 310, No. 12:750-758. P. Gundy, Cardiovascular Diseases Remain Nation,s Leading Cause of Death, JAMA 1992; 267:335-336. Materia Medica D.M. Widlus, F.A. Osterman, Evaluation and Percutaneous Management of Atherosclerotic Peripheral Vascular Disease, JAMA 1989; 261:3148-3154. OTA Report at pp. 60,94. E. Olszewer, F. Sabbag, J. Carter, A Pilot Double Blind Study of Sodium-Magnesium EDTA in Peripheral Vascular Disease, published in J. of Natl. Med. Assn., March, 1990. Text, supra. n. 1, at pp. 269-305. See Text, supra n. 3, at pp. 197-211. Start Oral Chelation Therapy Today EDTA Chelation vs. Conventional Therapy for Vascular Disease Researchers started to notice EDTA in the days during and after World War II when men who worked in battery factories or painted ships with lead based paint began coming down with lead poisoning. EDTA was found to be extremely effective for removing the lead from the men's bodies, but what really made people sit up and take notice was an apparent reduction in symptoms of heart disease in these men. The first systematic study of EDTA in people with atherosclerosis was published in 1956. When the researchers gave 20 patients with confirmed heart disease a series of 30 IV EDTA treatments, 19 of these patients experienced improvement, as measured by an increase in physical activity. Another study 4 years later in a similar population found that 3 months of EDTA infusions resulted in decreases in the severity and frequency of anginal episodes, reduced use of nitroglycerin (a common anti-angina drug) increased work capacity and improved ECG (electrocardiogram) findings. It soon became clear from these and later studies that EDTA treatments result in progressive and widespread improvement and stabilization of cardiovascular function. This is in contrast to standard treatments, such as angioplasty or CABG (Coronary Arterial By-pass Graft), which instantaneously restore normal function in the few treated arteries, but leave the rest of the body completely untreated (there's every reason to believe that if arteries are clogged in the heart, they're also clogged in other vital organs, like the kidney's and brain). High tech treatments for heart disease, such as angioplasty and CABG (Coronary Arterial By-pass Graft), long hailed as medical breakthroughs, are in fact, oversold, overpriced and ineffective, especially when 230 Glen Swartwout compared to EDTA Chelation. The truth of this assertion has been demonstrated on numerous occasions over the last 2 decades: The average mortality rate for CABG (Coronary Arterial By-pass Graft) surgery is 4% to 10%. In fact, CABG (Coronary Arterial By-pass Graft) has no overall effect in improving survival. According to one study in the New England Journal of Medicine, " As compared with medical therapy, coronary artery bypass surgery appears neither to prolong life nor to prevent myocardial infarction in patients who have mild angina or who are asymptomatic after infarction in the five-year period after coronary angiography. By contrast, mortality rates for EDTA Chelation, when carried out according to accepted protocols, approaches 0%. Grafted coronary arteries are more than 10 times as likely to close up again after 3 years compared with coronary arteries that are not replaced with a graft. Improved blood flow following EDTA Chelation therapy is permanent as long as regular EDTA therapy is maintained. Significant cerebal dysfunction, especially in older patients, is commonly seen following CABG (Coronary Arterial By-pass Graft). Because EDTA Chelation restores blood flow to the brain, it often results in improved cognition and memory. Resources: Books: The Chelation Answer: How to Prevent Hardening of the Arteries and Rejuvenate Your Cardiovascular System (1982), by Morton Walker, D.P.M., and Garry Gordon, M.D. Chelation Therapy: The Key to Unclogging Your Arteries (1985), by John Parks Trowbridge, M.D., and Morton Walker, D.P.M. A Textbook on EDTA Chelation Therapy (1989), by Elmer M. Cranton, M.D. Bypassing Bypass: The New Technique of Chelation Therapy (2nd edition, 1990), by Elmer Cranton, M.D., and Arline Brecher. Racketeering in Medicine - The Suppression of Alternatives, by Carter, James P. , (Norfolk, Va.: Hampton Roads Publishing Co., 1993). Articles: Materia Medica Clarke, Clarke, and Mosher, American Journal of Medical Science 230:654-666, 1956. E.M. Cranton, J.P. Frackelton, Free Radical Pathology in Age-Associated Diseases: Treatment with EDTA Chelation, Nutrition, and Antioxidants, Journal of Advancement in Medicine, Vol. 2, Nos. 1, 2, Spring/Summer, 1989. 1 Practitioner Association: American College of Advancement in Medicine, 23121 Verdugo Drive Suite 204, Laguna Hills CA 92653, (714) 583-7666. Cardiovascular Health Over 500,000 Americans have received intravenous chelation therapy over the last 40 years. But nearly 1,000,000 don’t receive it early enough and die needlessly early of heart attack and stroke each year, now accounting for over 50% of all deaths in America. If you live in America, you are at a high risk of disability and death due to cardiovascular disease. Start prevention early with anti-oxidant water, a better diet, exercise for every cell and tissue, especially your lymphatic (tissue cleansing) system, plus enhanced nutritional and energetic support. Start early with periodic oral chelation to clean out your blood vessels of heavy metals and fatty deposits, to help maintain an open channel for life-giving oxygen and nutrients to reach all your cells. We call our O.C. product “Elation!” because you feel so good on this advanced energetic product. How does it work? Let’s explore some of the synergistic support systems built into Elation and our O.C. programs. Before he died, Linus Pauling was fascinated with the fact that fats deposit in our arteries by attaching to one specific amino acid, lysine. So, extra lysine in the blood could also attract them back into solution, in effect ‘attaching them to the blood’ instead. And, as many of you know, lecithin keeps them in solution once they are in the bloodstream. Meanwhile, Chitosan is busy removing bile acids from the gut so your liver will use up all those extra blood lipids to make more bile instead of recycling it. And then there’s the Chlorella, the Garlic, the ultimate vitamin C and other key factors, which pull out the heavy metals and other toxins that probably caused the original scar on the lining of your blood vessel in the first place. Once the original cause is removed, then the vitamin C and bioflavonoids (and a little MSM is 232 Glen Swartwout recommended, too) can go to work actually repairing the scar, so that you can prevent new placque from just redepositing when you go back to a regular Complete Health Program or a simple Maintenance Program. Sounds alot more interesting and intelligent than a ‘roto-rooter,’ which just adds to the damage and scarring, and will probably get plugged up again within a year. Or taking an ‘extra pipe’ from some unimportant part of your sacred anatomy to bypass the clogged drain, just to get cogged up itself for the same unchanged reasons (with 5% risk of death on the operating table just for the opportunity to try it). Or how about a heart transplant for $92,000. And by the way, the only way to keep that foreign heart from being rejected is to totally suppress your immune system as well. I think an ounce of prevention must be worth more like a ton of cure! Yes. Your body was made to heal and maintain itself. It knows how. It has the technology. It’s part of the standard equipment package we all got. But it does need the right fuel. And a little oil change now and then is a really smart move, too. So do yourself and your family a favor. Try Elation! every 12 months. And if you are in need of a change, get on one of the O.C. Programs now. Elation! comes in a bottle with 30 packets. It can be taken up to 3 packets daily for maximum speed, safe oral therapy. Elation! Contents (note: Elation! is not available at this time, but it was a highly effective formula, so it is worth replicating some of its major functional features): 1 packet: Lipex™ 2 tablets: Lecithin (soya) supplying (approximately): 900 mg Phosphatidylcholine 232 mg Phosphatidylethanolamine 182 mg Phosphatidylinositol 116 mg Carrageenan (source of polysaccharides) 880 mg Guar gum 200 mg Niacin 20 mg Vitamin B6 20 mg Calcium disodium EDTA 200 mg Papain 100 mg Silicon dioxide 40 mg PGF™ 400 1 capsule: Materia Medica Garlic extract powder (Arizona Natural high potency garlic) 400 mg Parsley powder 100 mg Alfalfa powder 100 mg Calcium disodium EDTA 100 mg (total EDTA in formula) (300 mg) Citrus extracts Chlorophyll Aloe Spearmint (natural flavor) Chlorella 1 capsule: Chlorella 350 mg Lysine 2 capsules: Lysine 1000 mg Niacinate: Inositol Hexaniacinate 600 mg equivalent to Niacin 540 mg A Complete O.C. Protocol can be individualized by Biofield Analysis or may contain one pack a day of the above Elation! formula, plus: Ester-C or Magnesium Ascorbate: 1 to 2 capsules or tablets 3 times a day. Chitosan pharmaceutical grade marine fiber concentrate. Energessence: 1/2 tsp twice a day supplies: Bee Pollen 2x Flower Pollen 2x RNA-DNA from Yeast 2x Ginkgo biloba 2x 234 Glen Swartwout Hydrocotyle asiatica 2x Amygdala amara 3x Laminaria 3x Medicago sativa 3x Symphytum officinale 3x Aloe socotrina 3x Royal Jelly 3x Zinc monomethionine 6x The Ultimate O.C. Program contains 3 packs a day of Elation, plus the other products listed above, plus all of the following: Stamina Plus: Vitamins B1 through B20 2x Hordeum vulgare 2x Saccharomyces 2x Citrus limonum 2x Mineral ascorbate 2x Rosa canina 2x Aurantium fructus 2x Capsicum annuum 3x Solanum tuberosum 3x Agaricus 3x Petroselinum sativum 3x plus organically raised bovine glandulars: Liver 6x, 12x, 30x Heart 6x, 12x, 30x Bone Marrow 6x, 12x, 30x A high potency broad spectrum multiple vitamin and mineral supplement. Chromium 200 mcg up to 3 times a day Materia Medica MSM typical daily dose of patented Methylsulfonylmethane (99.9% pure) is 1.5 tsp. Take 1/4 to 1/2 teaspoon per 100 pounds body weight twice a day. Water content: 0.1%. Friendly Flora Chitosan with pharmaceutical grade marine fiber concentrate Consider synergists: Citric acid and Lipase. The maximum therapeutic dose is 15 capsules a day, e.g. with people dealing with cancer or MRSA in Japan. Chitosan is taken with extra water and adjusted according to bowel tolerance. As with any fiber, if the bowels get plugged up due to insufficient water intake with the fiber, drink extra water and discontinue fiber supplementation until the bowels are moving again. Ginkgo biloba DMSA DMSA, or meso-2,3-dimercaptosuccinic acid, derives its name from “mercurius captans”, Latin for capturing mercury. The organic sulfur of DMSA's thiol (-SH) group binds heavy metals in soft tissues: blood brain kidney liver “With respect to redistribution of mobilized Pb to critical organs and the magnitude of decline in soft tissue Pb concentration, DMSA appears to be a safe and particularly effective chelator and thus may be a viable alternative to CaNa2EDTA” (Cory-Slechta DA, Mobilization of lead over the course of DMSA chelation therapy and long-term efficacy. J Pharmacol Exp Ther 1988 Jul; 246(1):84-91). Heavy Metal Cleansing (Phase 4) DMSA is safe and effective for children in recommended doses. DMSA “is labeled for use in children with blood lead concentrations in excess of 45 micrograms/dL." Data also shows that DMSA is effective for reducing the lead burden in children with blood levels of 25 to 45 micrograms/dL (Berlin, CM Jr, Lead poisoning in children. Curr Opin Pediatr 1997 Apr;9(2): 173-7). 236 Glen Swartwout DMSA capsules can be taken alone or with other chelating agents for the detoxification of heavy metals including: mercury (Hg) lead (Pb) cadmium (Cd) arsenic (As) Oral chelation with DMSA is safe and effective even in adults with severe lead toxicity (Lifshitz M, et al, The effect of 2,3 dimercaptosuccinic acid in the treatment of lead poisoning in adults. Ann Med 1997 Feb; 29(1):83-5). Dialkyltin compounds have been widely used in industry and agriculture, mainly as biocides, catalysts and plastic stabilizers. Toxic effects occur in the immune system, the bile duct, liver and pancreas. In a manner similar to organoarsenic, the toxicity of the dialkyltin compounds is related to reactions with biological dithiol groups. DMSA diminishes the production of bile duct, pancreas and liver lesions and inhibits the development of fibrosis of the pancreas and cirrhosis of liver in lab animals exposed to these toxic chemicals. The decrease in the biliary excretion of these compunds by DMSA seems to be the reason for the pronounced protective effects of DMSA on the bile duct, pancreas and liver. For these reasons DMSA has been recommeded for the treatment of poisonings with dibutyltin compounds (Merkord J, et al, Antidotal effects of 2,3-dimercaptopropane-1-sulfonic acid (DMPS) and meso-2,3-dimercaptosuccinic acid (DMSA) on the organotoxicity of dibutyltin dichloride (DBTC) in rats. Hum Exp Toxicol 2000 Feb; 19(2):132-7). Precautions to minimize adverse effects of DMSA administration include: Consume 4 ounces per 1/2 hour of Sango-coral water or Alkaline Microwater throughout daylight hours of the cleanse. Take smaller doses if senstive generally Take smaller doses if kidneys show stress Watch and support liver function, considering Silymarin Take Chitosan fiber (3 to 15 a day at least 3 hours away from any beneficial oils if possible) to support bowel elimination route and prevent recycling of heavy metals and other toxins Materia Medica Do enemas, implants or colonic irrigation if necessary or helpful Make sure to take extra minerals: a multiple-mineral supplement (StarGold, 1 or 2 capsules twice a day, or Kreb Cycle Minerals, 1 twice a day) plus Magnesium Glycinate (1 capsule twice a day) away from DMSA Take two to four Ester-C Complex three times a day Biofield analysis remedies should be tested and adjusted at least monthly Urine-Testing: 3 days: 500 mg three times a day loading dose 3rd day: 24 hours urine test for heavy metals and creatinine clearance Consider 24-hour urine test for heavy metals again at the end of the second round of the DMSA Cleansing-Dosage: A 50 kg (110 lb) person may take up to 500 mg spread out through the day for up to five days (maximum: 10mg for each kilogram of the body-mass for each day) A 50 kg (110 lb) person may then take up to 1000 mg spread through the day for up to 2 weeks (maximum: 10mg/kg b.i.d.) Give your system a rest from the DMSA for 2 weeks while continuing other remedy support Repeat DMSA cleansing cycle as tolerated and indicated by clinical, diagnostic and/or energetic tests Contraindications Avoid any intense detoxification during pregnancy and lactation. Always give your system a rest after taking DMSA for up to 3 weeks. What to watch for: Whenever taking DMSA, watch for any changes in urinary tract gastrointestinal and skin symptoms: 238 Glen Swartwout gastrointestinal symptoms nausea or vomiting loose stool or diarrhea loss of appetite metallic taste in the mouth allergies skin reactions kidney pain mid or low back pain Vitamins Vitamin A Vitamin A is an important nutrient for the immune system, clear skin and healthy mucus membranes. Vitamin A in retinol and retinal forms, plus precursor Carotenoids (Pro-Vitamin A) including Beta Carotene all contain one or more cyclohexene ring structures that provide some sanctuary for the spirit minerals. The attached carbon chain contains several alternating double bonds, which allow the electrons a greater coherence and freedom of activation, thus working as an antenna, or transmitter-receiver extension for the spirit mineral in this spirit mineral transporter. These semi-free electrons also act as potential anti-oxidants and a partial Faraday cage to help maintain an energetically stable sanctuary for the spirit mineral being carried. Because carbon-to-carbon double bonds are able to absorb photons of light readily by changing conformation to a different isomeric shape, Vitamin A, in the visual pigments rhodopsin and iodopsin, is used in the eye to detect light. Approximately 1,000,000 Americans develop overt Vitamin A deficiency each year. Over 20% of Americans have an intake less than 70% of the RDA. Worldwide, Vitamin A deficiency is the leading cause of blindness. Dietary sources of vitamin A include liver glandulars (must be from organically raised animals) eggs (should be from free-ranging hens), fish (preferably small, cold water fish), butter (from grass-fed animals) and nutritional supplements alone, as in Mycelized Vitamin A (liquid), or in combination as in Vitamin A & D (gel caps) and multivitamins like Star Gold (tablet/capsule packet). It is also utilized in homeopathic form, as in Natural Resource A-Z to stimulate cellular uptake and utilization of vitamin A. For example, when taking Natural Resource A-Z in conjunction with Star Gold, the urine becomes much less yellow, indicating enhanced cellular uptake of the B complex vitamins which act as a visible marker of cellular vitamin metabolism. Materia Medica Conditions linked to deficiency Research shows that deficiency can be associated with: Acne (doses of about 100,000 IU daily combined with 800 IU of Vitamin E helped most patients within weeks, and lower levels were then effective for maintenance in a study of over 100 patients) Alcoholism (because of liver damage, take Vitamin A in small doses together with Zinc monomethionine and other nutrients; Star Gold is a good balanced formula, but depending on liver function, you may need to start with just one yellow multivitamin tablet per day and build up to the full dosage according to tolerance) Allergy (Vitamin A helps maintain intact mucus membranes, reducing exposure of immune tissues to allergens) Anemia (deficiency of Vitamin A causes anemia due to impaired synthesis of hemoglobin, which is reversible with Vitamin A supplementation) Bitot's spots on the white of the eye (due to drying, caused by a lack of mucin production with Vitamin A deficiency) Cancer (83% of patients with good levels of Vitamin A respond to chemotherapy, while only 36% of those with low levels respond; deficiency of Vitamin A suppresses immune functions needed to prevent and control cancer; Vitamin A deficiency has been found to be a risk factor for stomach, laryngeal, cervical and prostate cancers; Vitamin A level is decreased in tumors; Vitamin A maintains the cell membrane) Celiac disease (reduces absorption of Vitamin A) Cervical dysplasia (Vitamin A deficiency increases risk by a factor of 3) Crohn's disease (deficiency may be due to problems with protein metabolism) Fibrocystic breast disease (see below) Dry eyes, mouth, vagina, skin, or hair. ACES eye drops containing vitamin A, C, E and organic sulphur (MSM) as well as silver are very popular among clients with Dry Eye Syndrome. Fatigue Growth impairment 242 Glen Swartwout Hyperkeratosis Hypertension (low dietary Vitamin A intake is one of the top 4 nutritional factors related to high blood pressure) Immunosuppression (Vitamin A deficiency reduces both T and B cell responses, while moderate doses stimulate immune function including natural killer cells; deficiency can cause atrophy of the thymus and the spleen with a reduction in both circulating leukocytes and lymphocytes; doses of 300,000 to 450,000 IU daily for one week following surgery have been shown to prevent post-operative immunosuppression) Infections, colds, fevers (decreased frequency is seen with supplementation; supplementation is indicated also due to increased demand) Insomnia Kidney stones (74% of rats fed a Vitamin A deficient diet formed kidney stones, but human studies have not confirmed the link) Lupus (animal studies show acceleration of the disease process with Vitamin A deficiency, but some evidence suggests that high tissue levels of Vitamin A could exacerbate SLE, so only low doses should be explored) Menorrhagia (57% of cases corrected by supplementation, 92% at least improved with 50,000 IU daily for 15 days) Night vision difficulties Periodontal (gum) disease (supplementation in combination with other nutrients, such as found in a broad spectrum multi, may be beneficial) PMS (dosages of 50,000 to 300,000 IU daily taken during the second half of the cycle have improved most symptoms, especially headache, for 89 to 100% of subjects in several European controlled experimental studies; following several months of supplementation, most symptoms did not recur during one year of follow-up) Pregnancy (moderate supplementation is indicated due to increased demands) Psoriasis Materia Medica Respiratory tract conditions (decreased frequency with supplementation) Smell deficiency (a symptom of Vitamin A and Zinc deficiencies) Sexual difficulties (associated with deficiency) Skin ulcers (topical application can help healing) Taste deficiency (a symptom of Vitamin A and Zinc deficiencies) Tinnitus (ringing in the ears) Ulcerative colitis (decreases absorption of Vitamin A) Ulcers (both prevention and healing of duodenal and gastric ulcers may benefit from supplementing up to 100,000 to 200,000 IU per day according to controlled experimental studies) Warts (may benefit from both oral and topical Vitamin A) Weight loss (associated with nutrient malabsorption) Wound healing (supplemental and topical Vitamin A can help increase both the speed and strength of tissue repair even when impaired wound healing is due to steroid treatments or diabetes) Zinc malabsorption The link to Zinc Since Zinc is also necessary for Vitamin A metabolism, deficiency of either Vitamin A or Zinc can trigger chronic problems in the metabolism of both nutrients. A good zinc supplement, such as Opti-L-Zinc (Zinc monomethionine balanced with copper, Starfire Label), available from Remission Foundation at 800-7882442, or a Zinc picolinate or Zinc histidinate product from your local health food store is recommended for one month. Longer-term zinc supplementation should be balanced with Copper supplementation, to prevent inducing a relative copper deficiency, unless copper toxicity is present. In most situations where Vitamin A supplementation is desired, a dosage of 25,000 to 50,000 IU daily is effective without causing symptoms of overdosage. A study on fibrocystic breast disease gives an example of what can happen when using higher dosages. It showed that 10 out of 12 women who had not improved 244 Glen Swartwout by avoiding caffeine, showed improvement on 150,000 IU per day of Vitamin A. Five patients had to decrease this very high dosage, however, to eliminate side effects of excess Vitamin A, though the side effects reversed on lowering the dosage. Half of those who improved in this study showed at least a 50% reduction in breast masses. Perhaps a lower dose such as 50,000 IU over a longer period of time would have been effective without the risk of side effects. Certainly, for self-care moderate dosages are preferrable. How much should I take? Vitamin A is the most frequently overdosed of all vitamins, although this is still a very rare event. The tolerance range for Vitamin A varies extremely between individuals, due to wide variations in liver health. Some individuals can take as much as 1,000,000 IU every day for 5 years without developing any toxicity. In European Biological Medicine, dosages in this range are used with careful monitoring in the treatment of cancer. At the other extreme, symptoms of hypervitaminosis A have been observed in a few individuals after several months or more of supplementing between 25,000 and 50,000 IU per day. In most of these cases, this has been due to either the presence of liver disease or a diet extremely high in Vitamin A, which comes almost exclusively from animal sources. In the whole world, this most common of all vitamin toxicities is estimated to affect only about 200 individuals. The number of reported cases has not changed significantly, despite continued growth in the production and consumption of Vitamin A dietary supplements. Symptoms of toxicity closely parallel symptoms of deficiency. This principle of nutrition closely parallels the law of similars in homeopathy. This law, "Similia similibus curentur" observes that "like cures like." Symptoms of Excess The symptoms reported from excess Vitamin A, and therefore among the symptoms, which may be relieved by either increasing low Vitamin A intake, reducing high intake, or using homeopathic Vitamin A, include: fatigue, weakness malaise, lethargy headaches abdominal discomfort constipation Materia Medica insomnia restlessness, irritability Extreme Vitamin A toxicity may result in further symptoms such as: night sweats hair loss brittle nails irregular menses emotional instability mouth fissures itchy, dry, scaly, rough, yellowish skin superficial retinal hemorrhages exophthalmos peripheral edema anorexia increased intracranial pressure with headaches, nausea and vomiting bone growth problems in young children bone or joint tenderness, pain congenital abnormalities deposition of calcium in soft tissue, with high calcium in the blood and urine liver or spleen enlargement triggering of gouty arthritis attacks Fortunately most of the side effects of excess Vitamin A reverse within a few days of lowering the dosage with full recovery typically taking up to a couple months for the 200 cases in the world each year. Occasionally more long-term effects are seen in either the bones or liver. The use of homeopathic Vitamin A and microwater may speed this recovery. Lemongrass Lemongrass is said to be the only vegetarian source of Vitamin A. Lemongrass oil contains aldehyde monoterpenoids similar to those found in the herbs melissa, citronella, lemon verbena and eucalyptus. One of these compounds, citral, has strong antiseptic properties, while most aldehyde volatile oils have sedative 246 Glen Swartwout activity. However, double blind clinical research specifically on lemongrass has ruled out any clinically significant sedative or hypnotic effects from lemongrass oil. Stability of Vitamin A Vitamin A can be destroyed by heat, acidity, oxidation and light. It is stable in alkaline and reduced conditions, such as alkaline-reduced microwater. Carotenoids Beta-carotene, alpha carotene, lutein, zeaxanthin, cryptoxanthin, lycopene & a host of lesser carotenoids and plant pigments provide antioxidant functions in the body. Some also act as pro-vitamin A. Among the most important are lutein, for prevention of cataract and macular degeneration, and lycopene, for cancer prevention. It is important not to take a synthetic beta-carotene because it will be lacking in these other important accessory nutrients, while at the same time competing with those from your food for absorption. Thus, taking synthetic beta-carotene may actually reduce levels of these important compounds, increasing your risk for cancer, cataract, macular degeneration (the most common cause of irreversible blindness in America), and other degenerative conditions. It may also be beneficial in some instances to alternate days, taking Lutein one day, followed by Lycopene the next. Beta-carotene: Vitamin A precursor Beta-carotene does not contribute to the potential for Vitamin A excess, because active conversion of betacarotene into Vitamin A will only occur when the body needs more Vitamin A. Beta-carotene is also called pro-Vitamin A, because the healthy liver can convert a molecule of beta carotene into two molecules of Vitamin A. Unfortunately, 20% of the population cannot make this conversion effectively and must obtain Vitamin A as such in the diet. Most of these individuals are in Phase 3. They tend to have candida symptoms, low body temperature, weak liver function, and sometimes an underactive thyroid gland as well. B Complex Vitamins Among their important functions, the B vitamins act as co-factors in the electron transport chain of the mitochondria where 90% of cellular energy is stored in the high-energy phosphate bonds of ATP from the sunlight released from carbon bonds in our food. Materia Medica Here is an outline of all 20 B vitamins with some of their functions: Vitamin B1 (Thiamine) Thiamine contains two ring structures potentially attractive to the minerals that form the substrate of the soul. One is a piperazine ring (two Nitrogens in a saturated hexagonal ring) and the other is an unusual thiazolidine ring (a Nitrogen and a Sulfur in a pentagonal ring). Thiamine is beneficial for the nervous system and mental attitude. Digestion and elimination are helped by Vitamin B1 as it helps to maintain muscle tone in the digestive tract Other benefits include: Aids in the digestion of carbohydrates Helps with air and sea sickness Helps in dental postoperative pain Promotes growth Repels insects Aids in combating viral infections Vitamin B2 (Riboflavin) Riboflavin contains six ring structures suitable for transport of M-state spirit minerals (ORMUS). One is a simple saturated six carbon (benzene) aromatic ring. The other two contain two Nitrogen atoms each in hexagonal rings. Riboflavin assists in the digestion of protein, carbohydrates and fats. It is essential to normal growth and tissue maintenance. When higher levels of B2 are specifically indicated, the best form is the activated Riboflavin 5-Phosphate form. Benefits include: Alleviates eye fatigue and benefits vision Helps relieve sore mouth,lips and tongue Aids in stress reduction Promotes healthy, skin, nails and hair Aids in growth and reproduction 248 Glen Swartwout Vitamin B3 (Niacin) Niacin contains a Piperidine ring structure (one Nitrogen and six Carbons saturated with double bonds, making it an ideal site for transport of M-state minerals). Vitamin B3 is needed for a healthy nervous system. This nutrient helps regulate blood sugar levels. Cortisone,thyroxine, insulin and male and female sex hormone production in the body depend on Vitamin B3. A common reaction to an extra dose of niacin is a red flushing and itching of the skin-this is not serious and usually disappears after about 20 minutes. Large doses may be taken in the preferred non-flush form, Inositol hexaniacinate. Benefits include: Increases circulation Lowers blood pressure Helps cholesterol and triglyceride problems Combats against hardening of the arteries Alleviates migraine headaches Vitamin B4 (Niacinamide) Niacinamide, like Niacin, contains a Piperidine ring structure (one Nitrogen and six Carbons saturated with double bonds, making it an ideal site for transport of M-state minerals). Niacinamide can be taken in large doses for the benefits associated with niacin (B3), without the flushing reaction. Vitamin B5 (Pantothenic acid) This nutrient is found in every living cell of the body. The brain has the highest concentration of B5 than any other part of the body. It is essential for proper digestion, especially the breakdown of fats. Functions include: Supports the adrenal glands and hormones which are vital for the maintenance of healthy skin and nerves Improves poor memory Reduces the toxic side affects of many antibiotics Protects the body against cellular damage from radiation Combats the onset of premature aging Materia Medica Vitamin B6 (Pyridoxine) Pyridoxine contains a single piperidine ring (one Nitrogen in a saturated hexagonal ring). In its active form, P5P, it also contains the mineral Phosphorus. B6 is necessary for the conversion of protein foods into amino acids. The transport of amino acids into the cells rely on adequate amounts of B6. It is also required for the production of hydrochloric acid and magnesium and for the proper absorption of Vitamin B12. It must be present for the production of antibodies and red blood cells. To become active in the body, pyridoxine must be phosphorylated to Pyridoxal 5-Phosphate, the active form, which is also available as a supplement. Functions include: Relieves muscle spasms Helps guard against kidney and gallstone Fights anemia Helps control cholesterol level in the blood Helps to maintain potassium and sodium balance Promotes healthy nerves, muscles, skin and teeth Helps digestion Vitamin B7 (Folacin, Folic acid) Folate comes from the Latin for leaf, as it comes mainly from leafy greens. The structure contains two piperazine rings (two Nitrogens in each hexagonal ring) and one benzene (aromatic six carbon) ring to carry spirit minerals from the plant to its destiny as part of a navigational human soul. Folic acid is essential in the formation of red blood cells, utilization of sugar, protein metabolism and the production of RNA and DNA (nucleic acids). Those who should increase their folic acid intake are pregnant and nursing women, women on birth control,and people who drink alcohol. Folic acid is widely available as an 800 mcg tablet, or in a liquid mouth rinse. Folate is the most common vitamin deficiency in modern cultures, since it is obtained from green leafy vegetables as food folate, one of the B vitamins that acts as a methyl donor. The prefered of Folacin is also available in supplemental form, and the methyl donor deficiency state may be most efficiently repleted using TMG. Benefits include: 250 Glen Swartwout Improvement of lactation Prevents canker sores Guards against anemia Delays graying of hair when combined with PABA and pantothenic acid Helps in the cellular regeneration that occurs in healing Vitamin B8: Coenzyme A About 4% of cellular enzymes use CoA or Acetyl-CoA in synthesis and oxidation of fatty acids, as well as oxidation of pyruvate in the citric acid cycle. It is made from pantothenate. Coenzyme A contains three ring structures that can transport M-state minerals. One is a five member ring with one being Oxygen. The other two rings each contain two Nitrogens, with one being hexagonal and the other pentagonal. Vitamin B9: PABA PABA stands for Para-aminobenzoic acid, which contains a single aromatic six carbon or benzene ring. PABA's main importance is as a constituent of folic acid. PABA assists in the breakdown and utilization of proteins and in the formation of red blood cells. It stimulates the intestinal bacteria, which leads to the production of folic acid, which in turn helps in the production of pantothenic acid. PABA is available in combination with other B vitamins. Functions include: Supports the health of the intestine Helps delay the graying of hair Helps in vitiligo, where skin pigment is completely lost leaving white patches Vitamin B10: Biotin Biotin's two pentagonal ring structures include one with a single Sulfur atom and the other with two Nitrogens. Also known as Vitamin H, biotin is necessary for the functions of all other B vitamins. It also acts as a co-enzyme for a number of important enzymes in the body. A few of Biotin's benefits include: Materia Medica Combats baldness and delays graying of hair Eases muscle spasms Alleviates eczema and dermatitis Alleviates fungal infection Vitamin B11: Inositol Inositol contains a single cyclohexane (six carbon) ring with no double bonds. Inositol is useful in combination with niacin as inositol hexaniacinate, delivering therapeutic levels of niacin over time without the initial flushing reaction due to vasodilation from niacin alone. Like choline, inositol is found in high concentrations in lecithin. It helps in the metabolism of fats and aids in the reduction of blood cholesterol. It is available as a separate supplement. Inositol's benefits include: Supports the growth and survival of cells in bone marrow, Helps membranes in the eye and the intestine. Combats constipation Builds resistance to cirrhosis of the liver Helps in the redistribution of body fat Assists the heart by cleansing the blood of excessive fat Helps hair growth and prevents the thinning of hair Prevents eczema Counteracts negative effects of caffeine Vitamin B12: Cyanocobalamin, Methylcobalamin Cobalamin contains Cobalt, as well as 11 ring structures that can carry M-state minerals. These rings include four pentagonal rings with a single Nitrogen, as well as one with an Oxygen, and four with two Nitrogens, one of which also includes the Cobalt atom linked to the two Nitrogens. Of the four hexagonal rings, one is a simple aromatic Carbon ring, while the other three include two Nitrogens to help hold the Cobalt between them. All animals except humans can synthesize their own supply of B12. Protein from animal sources is the only source in which B12 occurs in substantial amounts. Vegetarians who eat no animal products are most often 252 Glen Swartwout found to be deficient in B12. A dietary B12 deficiency may not become evident for 5 to 10 years as the body is able to reabsorb sufficient amounts of this nutrient from the intestinal tract, which temporarily reduces the need for a regular supply. B12 is required for the normal functioning of every cell and of DNA and RNA. An active form of Vitamin B12 is available as Dibencozide (sublingual) or Cobamamide (capsule). Methylcobalamin is a preferred active form for neurological support. B12 functions include: Prevents anemia Helps improve concentration, memory and balance Helps ease asthma Maintains nervous system Relieves irritability and increases energy Prevents eye damage from smoke and pollution Vitamin B13: Choline Choline contains quaternary ammonium groups that are used at the head of phospholipids such as phosphatidylcholine and sphingomyelin found in cell membranes. Choline is also a precursor for the neurotransmitter Acetylcholine. Choline aids in the digestion of all types of fatty foods. A fat and cholesterol dissolver, it prevents fats from accumulating in the liver and other tissues in the body. It is essential for the health of the liver, kidneys, gall bladder and the myelin sheaths of the nerve fibers. Lecithin is the richest source of choline. Cholines functions include: Helps memory function by facilitating the flow of neurotransmitters Helps control blood pressure because it strengthens weak capillary walls. Aids liver in eliminating poisons from the blood Assists the storage of many vitamins and minerals, especially calcium &Vitamin A Alleviates insomnia and visual disturbances Vitamin B14: Betaine, TMG TMG does not contain any ring structures, but it is the best methyl donor. Methylation is a natural process of transfer of methyl groups (-CH3) between different compounds. This can serve to activate, recycle, detoxify and/or protect the affected molecules. Research shows that Materia Medica decreased methylation is involved in many health conditions, including diseases of the cardiovascular system, brain and liver, as well as cancer. Methylation is a key biochemical step ocurring a billion times a second. A coating of methyl groups on DNA protects against aging, oxidation, genetic damage, and disease related gene expression. Trimethylglycine (TMG) is an excellent source of methyl groups and is found in good quantities in broccoli and beets. TMG (Trimethyl glycine) is also known as anhydrous betaine, glycine betaine, or oxyneurine. It is a white crystalline powder with a naturally sweet taste and it disolves readily under the tongue for sublingual absorption, or for those who prefer, in water or other drinks. TMG is sometimes confused with betaine hydrochloride, which is also found in nutritional products, but as a stomach acidifier. Cardiovascular Health The focus on dietary cholesterol has thrown many people off the track. Dietary cholesterol is not the main source of blood cholesterol. And blood cholesterol is not the main risk factor for cardiovascular disease. Animals fed normal diets with the addition of high amounts of cholesterol do not develop atherosclerosis. A much higher risk factor is elevated homocysteine (HCY) levels. In the Physicians(1) Health Study, doctors with high homocysteine levels were found to have 3 to 4 times higher risk for heart attack compared to those with lower levels. Four major modifiable factors affect homocysteine levels: The rate of conversion of homocysteine to methionine via methylation The rate of homocysteine conversion to cystathionine and cysteine via transsulfuration The amount of homocysteine excreted into the plasma by cells The level of methionine in the diet. TMG is one of the most powerful methylating agents known and has been shown to lower homocysteine levels when nothing else would. Cancer Prevention Methylation regulates the expression of genes by coating the DNA, selectively turning some genes on and others off. Young people typically start out with enough methyl groups to regulate genetic activity, but these are lost during mitosis (cell division) due to dietary deficiency. The result is expression of oncogenes, which leads to cancer. Optimum methylation of the DNA prevents cancer by inhibiting oncogenes. 254 Glen Swartwout Dietary intake of high levels of methyl donors is linked to low cancer rates, and animal studies show that methyl donor supplementation can prevent cancer. Aging Reversal DNA methylation also helps explain the mechanisms of aging. DNA expression determines the building blocks and functions of all cells. With aging-related loss of DNA methylation, genetic expression changes. Methylation is a process of biochemical reduction (addition of electrons), the opposite of oxidation (loss of electrons). TMG is a potent antioxidant as well as a methyl donor, so it feeds both sides of the age-reversal equation. TMG also helps oxygenation at the cellular level, which further reduces aging related oxidation of the cell structures such as DNA and cell membrane. Oxygen is needed as a receptor for spent electrons from mitochondrial respiration, to prevent backup of electrons in the electron transport chain leading to leakage of high energy electrons (free radicals). By reversing atherosclerosis, TMG also provides enhanced circulation and tissue oxygenation over time with supplementation. Mood Elevation and Liver Health Methylation increases production of S-adenosyl-methionine, or SAMe. SAMe is an excellent antidepressant without the side effects of trycyclics. SAMe is very useful in liver disease and in osteoarthritis it has been shown to stimulate cartilage regeneration. TMG is an excellent way to elevate bodily SAMe synthesis, and should always be taken by those supplementing SAMe according to the Remission Foundation. When SAMe is spent, it loses a methyl group to become homocysteine. TMG recycles the homocysteine back into SAMe, so with enough TMG in the system, the same SAMe molecule can be used over and over, never staying in the toxic homocysteine form for long enough to damage the vascular system. Vitamin B15: DMG, Dimethylglycine, Pangamic acid DMG or Dimethylglycine relieves striated muscle spasms and boosts aerobic metabolism. It is a fabulous methyl donor, being able to donate two methyl groups per molecule, for example to recycle toxic homocysteine back into functional SAMe, reversing atherosclerosis, protecting DNA, reducing disease related gene expression, elevating mood and stimulating repair of cartilage. Scientific research has shown that supplementing the diet with higher levels of DMG enhances the body's immune system and its resistance to aging. DMG provides energizing support to the brain, muscles and glandular system as well. Materia Medica In practice, however, TMG is preferred for all these functions because it can supply 50% more effectiveness, since it has three methyl groups to get the job done. Vitamin B16: Oxythiamine chloride Oxythiamine contains two ring structures, one hexagonal with two Nitrogens and two double bonds, the other pentagonal with a Nitrogen and a Sulfur. Vitamin B17 (Amygdalin; related to drug 'Laetrile') Amygdalin contains three ring structures, one of which is an aromatic six Carbon ring. The other two each contain one Oxygen as one of the six members of the ring. Amygdalin is found in seeds, especially those eaten in parts of the world where longevity is high and cancer rates are low. Our modern cancer epidemic can be seen as a symptom of the Vitamin B17 deficiency of the modern diet. Therapeutic oral dosages (up to 2 grams a day in Phase 1 trials without any side effects) are typically 10 to 20 times less than the minimum dose that would produce any signs of toxicity. Synergists may include Vitamin A and proteolytic enzymes. In Phase 2 trials, one out of three patients responded favorably with remission or prolonged stabilization, even though most were beyond any conventional medical treatment. 45% felt subjective improvement and nearly all were able to get off morphine within about a month. In Phase 3 trials, Amygdalin was seen to reduce side effects and improve response to chemotherapy when used in conjunction with it. Conventional high dose radiation and multiple chemotherapy kills 3 to 4% of patients and causes severe injury (morbidity) to about 30% leading many patients to discontinue treatments, and leading 90% of oncologists to acknowledge that they would not personally take the treatments they routinely prescribe. No cases of morbidity or mortality due to Amygdalin were seen in Phase 3 trials, and survival rates were better than with conventional therapies. The book A World Without Cancer by G. Edward Griffin is an essential read to understand the physiology, history, economics and politics surrounding Amygdalin. 256 Glen Swartwout Vitamin B18 Flavin Adenine Dinucleotide (FAD) FAD is an electron transporting quinone with four hexagonal ring structures and one pentagonal ring. The pentagonal ring contains two Nitrogens. Three of the hexagonal rings contain two Nitrogens each, while the fourth hexagonal ring is an aromatic six Carbon ring. Vitamin B19 Flavin Mononucleotide (FMN) FMN is an electron transporter and blue light receptor with three hexagonal rings. One is an aromatic sixcarbon ring, while the other two contain two Nitrogens each. Vitamin B20 Carnitine Carnitine transports fatty acids from the cytoplasm into the mitochondria for energy production. It is a dipeptide made from the amino acids Lysine and Methionine. Supplementation ranges from supply of the precursor amino acids, to direct supplementation of Carnitine, or the preferred and more bioavailable form N-acetyl Carnotine or ALCAR. More detailed information about Carnitine can be found in the section on amino acids. B Vitamin Cross Reference For convenience, since there are so many different names for the B vitamins, here is an alphabetical crossreference of the 20 identified B vitamins: Acetyl L-Carnitine, B20 (most therapeutic form) Amygdalin, B17 Anhydrous Betaine, B14 B1 Thiamine, Cocarboxylase B2 Riboflavin, flavin adenine dinucleotide (FAD), Flavin mononucleotide (FMN), Riboflavin 5’-Phosphate B3 Niacin, Nicotinic acid, Inositol hexaniacinate (non-flush niacin), reduced beta-Nicotinamide Adenine Dinucleotide (NADH) B4 Niacinamide Materia Medica B5 Pantothenic acid, Pantothene B6 Pyridoxine, Pyridoxal 5’-Phosphate (P5P) B7 Folic acid, Folate, Folacin, Folinic acid B8 Co Enzyme A B9 PABA B10 Biotin B11 Inositol, Inositol hexaphosphate (IP6) B12 Cyanocobalamin, Methylcobalamin, Dibencozide B13 Choline B14 Anhydrous Betaine, Trimethylglycine (TMG) B15 Dimethylglycine (DMG), Pangamic acid, Anhydrous Betaine B16 Oxythiamine chloride B17 “Laetrile”, Amygdalin B18 Flavin Adenine Dinucleotide (FAD) B19 Flavin Mononucleotide (FMN) B20 Carnitine, Acetyl L-Carnitine beta-Nicotinamide Adenine Dinucleotide, Reduced (NADH), B3 (coenzyme form) Biotin, B10 Carnitine, B20 Choline, B13 Cocarboxylase, B1 258 Glen Swartwout Co Enzyme A, B8 (coenzyme form) Cyanocobalamin, B12 Dibencozide, B12 (energy, sports) Dimethylglycine (DMG), B15 DMG (Dimethylglycine), B15 Flavin Adenine Dinucleotide (FAD), B18, B2 (coenzyme form) Flavin Mononucleotide (FMN), B2 (coenzyme form), B19 FMN (Flavin Mononucleotide), B2 (coenzyme form), B19 Folacin, B7 Folate, B7 Folic acid, B7 Folinic acid, B7 Inositol, B11 Inositol hexaniacinate (non-flush niacin), six B3 bound to one B11 (natural sustained release of B3) Inositol hexaphosphate (IP6), B11 (immunity, cancer, NK cells) IP6 (Inositol hexaphosphate), B11 (immunity, cancer, NK cells) L-Carnitine, B20 “Laetrile”, B17 (drug brand name) Methylcobalamin, B12 NADH (Reduced beta-Nicotinamide Adenine Dinucleotide), B3 (coenzyme form) Niacin, B3 Materia Medica Niacinamide, B4 Nicotinamide Adenine Dinucleotide, Reduced (NADH), B3 (coenzyme form) Nicotinic acid, B3 Oxythiamine chloride, B16 P5P (Pyridoxal 5’-Phosphate), B6 (coenzyme form) PABA, B9 Pangamic acid, B15 Pantothene, B5 Pantothenic acid, B5 Pyridoxal 5’-Phosphate (P5P), B6 (coenzyme form) Pyridoxine, B6 Reduced beta-Nicotinamide Adenine Dinucleotide (NADH), B3 (coenzyme form) Riboflavin, B2 Riboflavin 5’-Phosphate, B2 Thiamine, B1 TMG (Trimethylglycine), B14 (see paper on methyl donors and atherosclerosis) Trimethylglycine (TMG), B14 Vitamin C Vitamin C contains a pentagonal furan ring structure consisting of four Carbons and one Oxygen atom with a single double bond opposite the Oxygen. Vitamin C comes in several different forms: acid, alkaline, buffered, esterified and fat-soluble. 260 Glen Swartwout Vitamin C is a vital, daily nutrient. In the event of illness and stress, our requirements for it skyrocket. Unlike most animals, with the exception of guinea pigs, humans cannot produce their own vitamin C. To achieve the vitamin C levels produced by most animals, we would have to supplement about 10 grams a day of vitamin C. Linus Pauling and others believe this is a key reason why humans and not animals succumb to so much cardiovascular disease, since vitamin C is needed to protect and repair the delicate lining of the blood vessels. Often called "the most important vitamin," Vitamin C is a major antioxidant. Replacing this nutrient daily through supplementation to our diet is crucial for maintaining health. A few key benefits of Vitamin C: Combats the effects of stress and pollutants Helps prevent or lessen the severity of the common cold Helps the body use iron Promotes healing of wounds, burns and fractures Increases resistance to infections and fatigue Promotes healthy gums Reduces the discomfort of allergies Helps to mobilize and remove heavy metals such as mercury, lead and copper Aids in decreasing the cholesterol level in the blood Ester C Phase 5: Balance: Vitamin C Metabolism pH balanced, so bowel tolerance is enhanced, permitting higher therapeutic doses with greater effectiveness and comfort. Twice as absorbable from the digestive tract into the blood as compared to ascorbic acid. Twice as absorbable at the cell membrane, so it reaches 4 times higher levels within the cells, including the white blood cells. This form of C is also retained in the body twice as long as regular Vitamin C. Animal studies show increased plasma vitamin C concentration and delayed urinary excretion with Ester-C. L-threonate, a metabolite of ascorbate, may facilitate the transport and uptake of vitamin C, helping Materia Medica optimize cellular levels. A human study showed maintenance of increased intracellular levels in white blood cells at 24 hours, where vitamin C generally washes out in about 8 hours. Ester-C mineral ascorbate, which is enriched with vitamin C metabolites including ascorbate, dehydroascorbate, and threonate, selectively kills a variety of cancer cell types. Ester-C mineral ascorbate doubles the cancer cell death rate at lower concentration than mineral ascorbate or ascorbic acid alone. The research was performed by Raxit J. Jariwalla, PhD, former Director of the Viral Carcinogenesis and Immune Deficiency Program of the Linus Pauling Institute of Science and Medicine. Dr. Jariwalla documented selective cell-killing with ascorbic acid and mineral ascorbate, but greater tumor-specific cytotoxicity with Ester-C mineral ascorbate. The increased effectiveness was seen in a variety of human cancer cells, including skin, liver, nerve and colon. Fat Soluble Vitamin C Ascorbyl Palmitate is a special fat-soluble form of Vitamin C that gets this important anti-oxidant vitamin into the cell membrane and other key lipophilic sites in the body. This can be very helpful when free radicals are an issue as with aging and degenerative diseases. Free radicals in a lipid medium tend to cause chain reactions, which rapidly multiply the number of attacks on the cell's integrity, because each free radical reaction generates multiple free radicals. Think of how well fat burns in a fire, or how powerful the similar positive feedback look is in a nuclear chain reaction. Bioflavonoids, also known as Vitamin P, are synergistic with Vitamin C. Vitamin D Vitamin D is made from cholesterol using a high quantum energy photon of ultraviolet light. Also called the sunshine vitamin, Vitamin D assists in the absorption of Calcium and Phosphorus from the intestinal tract. It plays a vital role in the health and maintenance of the bones, teeth, nervous system and heart. Like other cholesterol derivatives, Vitamin D also acts as a hormone. Vitamin E Vitamin E contains an aromatic hexagonal carbon ring structure, meaning there are alternating single and double bonds, allowing coherence of these bonds around the ring. A second ring contains oxygen. 262 Glen Swartwout Known for its important antioxidant properties, Vitamin E inhibits the conversion of oxygen into toxic forms (free radicals). Consequently, it helps to slow the aging process, increasing muscle stability and promoting good circulation. Other benefits include: Oxygenates the tissues and reduces need for oxygen intake Supports the health of the primary and reproductive organs, Protects against effects of chemical air pollution and cigarette smoke Acts as a blood thinner Promotes wound healing Vitamin H Vitamin H is another name for Biotin. See the B vitamin section. Vitamin K Vitamin K is a group of methylated naphthoquinone ring structures made by symbiotic organisms within the body. Phylloquinone (K1), and Menaquinones (K2) are quinones like Co-Q10 (Ubiquinone). The naphthoquinone ring structure is a double ring with a hexagonal aromatic ring, with alternating double bonds like Vitamin E, and a second hexagonal carbon ring with only two double bonds in the ring structure. The aromatic ring is an optimal site for a spirit mineral, since the electrons in the alternating double bond structure are free to absorb a wide range of incoming energetic frequencies, acting as a Faraday cage to insulate the M-state minerals from environmental energies. It is possible that M-state minerals with an odd atomic number, such as Gold, which must be diatomic in order to act as a boson, may take up residence in the adjacent rings of the quinones. Vitamin K is important for normal liver function as it aids in blood clotting. High levels indicate good coagulation ability; a deficiency causes an increased tendency to hemorrhage. A most helpful remedy for Vitamin K deficiency is the botanical Bursa pastoris (Shepherd’s Purse). Vitamin P Vitamin P, a class of compounds known as bioflavonoids, is synergistic with Vitamin C. The flavone backbone common to the plant metabolites known as bioflavonoids contains three hexagonal ring Materia Medica structures. Two of those rings are aromatic 6-carbon rings, while the third includes an oxygen atom as one of the six members of the ring. Their interaction with energy quanta supports their role in many plants as yellow, red and blue pigments used to signal symbiotic pollinators. They are also involved in important functions like Nitrogen fixation, chemical messenging, physiological regulation, and disease inhibition. Important medicinal bioflavonoids include citrin, rutin and hesperidin. A primary function in humans is to increase capillary strength. Bioflavonoids are necessary for the proper function and absorption of Vitamin C, making them antiscorbutic. Together they help in keeping the connective tissue healthy. Antioxidant activity is also a function of bioflavonoids. Some of the most important bioflavonoid sources are: Bioflavonoid and Typical Source by Latin botanical name (with common name) Flavonols from Vitis vinifera (grape seed) Anthocyanosides from Vaccinium myrtilis (bilberry) Anthocyanosides from Vaccinium (blueberry) Anthocyanosides from Vaccinium macrocarpon (cranberry) Hesperidin from Citrus spp. (citrus) Ginkolides: & Quercetin from Ginkgo biloba (ginkgo) Isoflavones from Glycine max (soy) Polyphenols: Catechins from Camelia sinensis (green tea) Polyphenols from Vitis vinifera (grape skin, aka pip) Quercetin = 3,3’,4’,5,7-pentapentahydroxyflavone from Allium cepa (red onion) Rutin from Polygonum fagopyrum (buckwheat) Silymarin from Silybum marianum (milk thistle) There are many other sources of important bioflavonoids, which are reviewed in greater detail in the section on antioxidants. Co-enzyme Q Coenzyme Q10, Ubiquinone, is a quinone like Vitamin K, and thus well suited as a spirit mineral transporter. Again, it is possible that M-state minerals with an odd atomic number, such as Gold, which must be diatomic in order to act as a boson, may take up residence in the adjacent rings of the quinones. 264 Glen Swartwout There are a number of other quinones. All share a fully conjugated cyclic double bond structure based on aromatic rings such as benzene and naphthalene, and often made from phenols and catechols. Conjugated double bonds are energetically coherent and free, and thus function as very stable anti-oxidants and Faraday cages, as well as sender-receiver antennae for the M-state minerals they transport. PQQ One of the most medicinally important quinones is Pyrroloquinoline quinone (PQQ). It is an essential nutrient, and the only medicine known to simulate the effects of long-term calorie restriction in stimulating mitochondrial regeneration. cardioprotection functions. PQQ also has anti-oxidant properties, and serves neuroprotection and Essential Fatty Acids (EFAs) & Oils We need at least 5 g of essential fatty acids each day. Grains, fruits and vegetables provide omega-6 and/or omega-3 fatty acids, but oil made from cold-water fish are the best source of omega-3 fats. Here are some basic sources of fatty acids & oils: Alkylglycerols Alkylglycerols, from shark liver oil, boost immune function and have powerful anti-cancer properties. Black Currant Black currant oil delivers Essential Fatty Acids (EFA's) with about 16% omega 3 content as GLA (gamma linolenic acid). Borage Borage oil delivers Essential Fatty Acids (EFA's), with about 24% being omega 3 as GLA and 37% omega 6 as LA (linoleic acid). Cetyl Myristoleate Cetyl myristoleate has remarkable curative properties for many people suffering from arthritis, and perhaps other autoimmune conditions. DHA DHA boosts infant brain and visual development. It is an omega 3 essential fatty acid found in fish oil with EPA and is now available separately from vegetarian source as well. Evening Primrose Evening Primrose Oil (EPO) contains at least 10% GLA (omega 3 essential fatty acid) and at least 72% LA (omega 6 essential fatty acid). Materia Medica Fish oil Super EPA is a highly recommended source of both EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) omega 3 essential fatty acids. Dietary intake of these beneficial fatty acids can also be enhanced by eating small cold water ocean fish. Super EPA is about 30% EPA and 20% DHA. Flax Flax Lignan Gold is recommended as a cost-effective EFA supplement. As an alternative, whole flax seeds may be cooked fresh or ground and cooked fresh daily. Flax seed oil contains about 55 to 60% omega 3 as ALA (alpha-linoleic acid, which the body must convert to form EPA), 16 to 20% omega 6 as LA (which must be converted to the active form, GLA, found in EPO, Borage and Black Currant), and 18 to 20% omega 9 as Oleic acid. Octacosanol Octacosanol is an energy boosting nutrient concentrated from wheat germ oil. Octocasonal is an important oxygenator for stimulating cellular metabolism, enhancing strength, endurance, and reflexes. Also an important support for the reproductive, cardiovascular and brain functions. Phosphatides (Choline, Lecithin, Phosphatidyl Choline, Phosphatidyl Serine) The phosphatides provide precursors for neurotransmitters and brain health. Phosphatidyl Choline is the most concentrated precursor for acetylcholine. It also has remarkable fat dissolving properties. Phosphatidyl serine is being used in Parkinson's and senility. Squalene Squalene is found in shark liver oil as well as vegetarian sources. It is available in capsules as well as in liquid form for topical skin rejuvenating effects. Types of Fatty Acids Omega-3 EFAs are the most deficient in the modern diet. You can get a precursor from plants or the active-forms EPA and DHA from fish. DHA from algae is also available as a supplement for vegans. 268 Glen Swartwout Omega-6 EFAs are involved in the pro-inflammatory arachidonic acid cascade in atherosclerosis, asthma, arthritis, vascular disease, thrombosis, immune-inflammatory processes, and tumor proliferation. Omega-6 EFAs compete with the Omega-3 EFAs. Many modern toxic synthetic drugs work by blocking physiological pathways in the arachidonic cascade to reduce the immune system's ability to produce potentially detoxifying inflammation, instead of balancing the dietary precursors, promoting other means of detoxification such as FIR saunas, and modulating immune function with plant fats (phytosterols) that are filtered out of virtually all commercial oils to 'improve' visual clarity for easier sales not requiring any education about the importance to health of the plant fats making the unfiltered oils less clear. Unfiltered flax oil is now available as a nutritional supplement. Phytosterols are high in sprouts, and supplement concentrates are also available. Omega-9 fatty acids are not essential, but some, particularly oleic acid found in olive oil, are beneficial based on epidemiology of the Mediterranean diet, while others can be toxic, such as erucic acid from rapeseed. GMO rapeseed producing low erucic acid rape seed oil marketed as Canola oil (named for the Canadian Oil Company) is a modern experiment. No indigenous people ever survived eating rapeseeds or their oil. Avoid Canola oil. Olive Oil Scientific Name Olea europea (Family: Oleaceae) Form Organic virgin olive oil, cold-pressed Traditional Uses: Anti-inflammatory Blood Sugar Balance Blood Thinning Bone and Joint health Essential Fatty Acid (EFA) supplement Lowers LDL Cholesterol Materia Medica Vascular health Wrinkles Overview The cultivatar: Olea europea is widespread in Eurasia and is one of about 20 species of the genus Olea. Fresh, ripe olives contain about 20% oil. Olive oil is noted for promoting cardiovascular health in the Mediterranean diet. Rich in oleic acid, a monounsaturated omega-9 fatty acid, olive oil is resistant to the formation of trans fatty acids and free radicals that cause inflammation and cellular injury. Olive oil lowers high blood pressure. A Stanford Medical School study of seventy-six middle-aged men found that taking the equivalent of three tablespoons of olive oil daily lowered systolic pressure about nine points and diastolic pressure about six points. A study done at the University of Kentucky found that a mere two-thirds of a tablespoon of olive oil daily could do almost as well. Because eating oxidized fat triggers the release of insulin and the buildup of glucose in the blood, it is recommended that people used olive oil as the main dietary oil (or other oils rich in monosaturated fats like avocado, almonds and other nuts). Consuming oils rich in omega-6 fatty acids, like corn, sunflower and safflower oils, can cause the blood to be infused with free radical peroxides. If the body doesn't have enough antioxidants to mop them up, the radicals shut down an enzyme that metabolizes sugar and then glucose levels build up in the blood and this stimulates insulin secretion. High blood sugar and blood insulin damages the vascular system. In a clinical trial with humans, olive oil prevented these effects, whereas sunflower oil, rich in linoleic acid, did not. Olive oil, by coating the stomach, can also be used as an antidote for ammonia poisoning. Active Ingredients Olive oil contains (per 100g): Vitamin E (ATE), 12.4mg; Tocopherol (alpha), 11.9mg; Lipids: Fatty acids, total saturated, 13.5g; 16:0=11.0g; 18:0=2.2g; Fatty acids, total monounsaturated 73.7g; 16:1=0.8g; oleic acid 270 Glen Swartwout or 18:1=72.5g; 20:1=0.3g; Fatty acids, total polyunsaturated=8.4g; linoleic acid or 18:2=7.9g; linolenic acid or 18:3=0.6g; Phytosterols 221mg/100g. (National Agriculture Library's USDA Nutrient Database for Standard Reference at http://www.nal.usda.gov). Suggested Amount Olive oil: Take a half to three tablespoons of olive oil per day or as needed based on nutrient requirements. Olive oil, rich in omega-9 fatty acids but lacking in the important omega-3 EFAs, should be taken as part of a balanced diet. Drug Interactions Olive oil can effectively coat the stomach and therefore may reduce the absorption of other medications. Thus, olive oil should be taken separately from other supplements and/or medications. Contraindications None known Side Effects Olive oil, taken as a part of a well balanced diet, does not cause any side effects. Because olive oil is rich in omega-9 fatty acids but contains almost no omega-3 EFAs, it should be taken as part of a balanced diet. References Duke, J. 1997: The Green Pharmacy, The Ultimate Compendium of Natural Remedies from the World's Foremost Authority on Healing and Herbs. pp. 32-33; 274; 557. Rodale Press. Carper J. 1995. Stop Aging Now. (Chapter entitled: Beware the Fat That Makes You Old; plus other information on olive oil). Harper Collins Publishing, Inc., New York, NY, p. 207-218; 284; 312. Materia Medica Carper, J. 1993. Food Your Miracle Medicine. HarperCollinsPublishers, 10 East 53rd Street, New York, New York 10022-5299. Pp. 1-528. Erasmus, U. 1993: Fats that Heal, Fats that Kill. Published by Alive Books, Burnaby, B.C., Canada. pp. 1456. Madigan C, Ryan M, Owens D, Collins P, Tomkin GH. 2000. Dietary unsaturated fatty acids in type 2 diabetes: higher levels of postprandial lipoprotein on a linoleic acid-rich sunflower oil diet compared with an oleic acid-rich olive oil diet. Diabetes Care. 2000 Oct; 23(10): 1472-7. Omega-3 EFAs Omega-3 EFA's provide essential human nutritional support and can be especially helpful for those dealing with: Allergies Asthma Attention Deficit and Hyperactivity Disorder (ADHD) Bipolar Disorder (Manic-depressive Illness) Borderline Personality Disorder Cancer Treatment Support Chronic Fatigue Syndrome Crohn's Disease Depression Diabetic Neuropathy Dysmenorrhea (Menstrual Pain) Gout Heart Disease Prevention HIV Support Hypertension Kidney Stones Lupus Male Infertility Migraine Headaches 272 Glen Swartwout Multiple Sclerosis Osteoporosis Pregnancy Support Premature Birth (Prevention) Prostate Cancer Prevention Psoriasis Raynaud's Phenomenon Rheumatoid Arthritis Schizophrenia Sickle-cell Anemia Strokes (Prevention) Ulcerative Colitis Weight Loss with Cancer Fish provide quality protein and are rich in omega-3 fatty acids: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), essential for hormone production, brain function and vision. Avoid fish from unknown source or from polluted waters. Pollution with mercury and PCBs is a problem in many waters on earth today, especially in the Atlantic Ocean and near industrial and population centers. Factors to Avoid & Emphasize Aroma Avoid fishy smell Emphasize fresh fish free of odor Appearance Avoid milky sunken eyes. Emphasize gleaming bright eyes and scales, with bright red gills. Materia Medica Palpation Avoid flesh that stays indented on touch. Emphasize firm flesh. Integrity Avoid fish with separation in layers of meat. Emphasize fish with no separation in layers of meat. Presentation Avoid cooked and raw fish in same case or piled high. Emphasize frozen, canned, or whole fresh fish in ice. Source Avoid farm fish (most Atlantic salmon is farm) except Hawaii Emphasize Pacific: Australia, New Zealand, Hawaii and Alaska or deep water ocean fish away from coastline & industry best Size Avoid large fish as they are higher on food chain with greater bioaccumulation of Hg, PCBs. Emphasize small, young fish, low on food chain. Temperature Emphasize cold water fish: salmon (wild sockeye), trout (wild rainbow), herring, albacore and skipjack tuna (best: small fresh 'ratfish'), mackerel, cod, sardines, pollock, flounder, and halibut. 274 Glen Swartwout Fresh water fish Radioactive pollutants are a potential problem for fresh water fish. Ocean water is generally better than fresh. Emphasize high elvation or high latitude fresh water, mountain stream, alpine lake sources. Species Avoid shark (Hg & PCBs), swordfish (Hg & PCBs), large yellowfin and bigeye tuna (Hg), large king salmon (Hg & PCBs), bivalve mollusks: clams, oysters, mussels & scallops (pesticides & Pb), white fish. Emphasize orange roughy (cleanest but nearly extinct), pink & sockeye salmon (low Hg), pink shrimp (Hg), Alaskan king crab (low Hg), arrowtooth flounder (low Hg), halibut, sole, pollock, small tuna: skipjack or Aku lower Hg than albacore, herring, sardines. Sea Vegetables Bind heavy metals & PCBs: Emphasize Chlorella, Klamath Lake blue green algae Bind heavy metals (e.g. Hg) Avoid sea vegetables from unkown or polluted source waters. Emphasize Dulse, nori, kombu, hijiki, wakame & kelp Blood Types Blood type A: Avoid brown trout, flounder, sole, and halibut. Blood type B: Avoid salmon, and tuna. Blood type AB: Avoid brown trout, flounder, sole, halibut, salmon, and tuna. Blood type O: Avoid sole, flounder, and halibut. Dosage Typical dosage of EPA & DHA is 3 to 9 grams a day. Up to 60 grams a day has been used in research. The main omega-3 fatty acids in fish oil are EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). Most major studies use at least 1,800 mg EPA and 900 mg DHA for each day. Materia Medica DHA may be more effective than EPA for thinning the blood176 and reducing blood pressure,105 while EPA may better reduce triglyceride levels.160165 Vitamin E may be added or oxygen removed for stability. Fish oil may be assayed for organochlorines and PCBs. Flaxseed oil contains omega-3 precursors, but is not as therapeutic as preformed DHA and EPA.1 Therapeutic Uses According to most studies, fish and fish oils help prevent death from heart disease.152 They help prevent atherosclerosis, reducing high triglyceride levels, raising the HDL cholesterol level, thinning the blood, reducing homocysteine, and sometimes reducing blood pressure.14,15,51,90-94,96105,151,160165,174,177 These effects also help prevent strokes.20,178 Fish oil is helpful in the early stages of rheumatoid arthritis. It reduces symptoms without causing side effects and can be synergistic with other arthritis remedies including conventional drugs.37,38,179 Two studies show that fish oil may be effective for the pain of dysmenorrhea.39,40 One small double-blind study finds benefits in bipolar disorder (manic-depression) with high doses of fish oil improving emotional state and reducing risk of relapse.41 Benefits may also be found for those with depression,154,168schizophrenia,48,148,169,170 and borderline personality disorder.180 Small studies suggest benefits in Raynaud's phenomenon (abnormal sensitivity in the extremeties to cold temperatures),42,43 sickle-cell anemia,45 and a form of kidney disease called IgA nephropathy,47 and the autoimmune disease lupus.137 (However, two studies failed to find fish oil helpful for kidney disease caused by lupus.138,139) Evidence is mixed regarding whether fish oil is beneficial for Crohn's disease or ulcerative colitis, conditions in which parts of the digestive tract are highly inflamed.4951,6168, 159 According to some, but not all studies, fish oil may help treat the undesired weight loss often experienced by people with cancer.181,182 In addition, highly preliminary evidence hints that DHA might enhance the effects of the cancer chemotherapy drug doxorubicin,157 and decrease side effects of the chemotherapy drug irinotecan.158 276 Glen Swartwout Use of fish oil by pregnant women might help support healthy brain function in their children183 and help prevent premature birth.184,185 Interesting, but highly preliminary, evidence suggests that fish oil, or its constituents, might be helpful for treating kidney stones, alleviating the symptoms of chronic fatigue syndrome, and reducing the risk of prostate cancer.54,5659 Fish oil has also been proposed as a treatment for many other conditions, including diabetic neuropathy,60 allergies, and gout, but there has been little real scientific investigation of these uses. Some, but not all, studies suggest that fish oil combined with omega-6 essential fatty acids may augment the effectiveness of calcium in the treatment of osteoporosis.86,87 One promising, but highly preliminary, double-blind, placebo-controlled study suggests that the same combination therapy may improve symptoms of the severe neurological illness called Huntington’s disease.155 For several other conditions, the current balance of the evidence suggests that fish oil is not effective. For example, despite widely publicized claims that fish oil helps asthma, most preliminary studies have failed to provide evidence that it is effective, and one study found that fish oil can actually worsen aspirin-related asthma.6977,171 Similarly, a 16-week, double-blind, placebo-controlled study of 167 individuals with recurrent migraine headaches found that fish oil did not significantly reduce headache frequency or severity.149 Conflicting results have been seen in other, much smaller trials of fish oil for migraines.172,173 Fish oil is also sometimes recommended for enhancing immunity in HIV infection. However, one 6-month double-blind study found that a combination of the omega-3 fatty acids in fish oil plus the amino acid arginine was no more effective than placebo in improving immune function in people with HIV.78 Fish oil, however, might help individuals with HIV gain weight.79 Preliminary studies suggested that fish oil could help symptoms of multiple sclerosis; however, one doubleblind study found no difference between people taking fish oil and those taking olive oil (used as a placebo).8084 Although one study found fish oil somewhat helpful in psoriasis,133 a much larger study found no benefit.134 Materia Medica DHA has been evaluated as a possible treatment for male infertility, but a double-blind trial of 28 men with impaired sperm activity found no benefit.85 In another study, DHA failed to augment the effectiveness of standard therapy for attention deficit disorder. 89 However, a study that evaluated the potential benefits of fish oil combined with omega-6 fatty acids found some evidence of benefit.88 Combination therapy with GLA and fish oil has failed to prove effective for cyclic breast pain.186 Heart Disease Prevention Studies on fish or fish oil for preventing cardiovascular disease, slowing the progression of cardiovascular disease, and preventing heart-related death have returned somewhat contradictory results.106125,150,156 However, a review (technically a meta-analysis) of many studies on the subject suggests that when all the evidence is put together, it appears that fish or fish oil can reduce overall mortality, heart disease mortality, and sudden cardiac death (e.g., fatal arrythmia).152 As noted earlier, fish oil is thought to exert several separate effects that act together to help protect the heart. The most important action of fish oil may be its apparent ability to reduce high triglyceride levels. Like cholesterol, triglycerides are a type of fat in the blood that tends to damage the arteries, leading to heart disease. According to most, though not all, studies, fish oil supplements can reduce triglycerides by about 2530%.9093,151 Fish oil has been specifically studied for reducing triglyceride levels in people with diabetes, and it appears to do so safely and effectively.3 It also seems to remain effective in individuals who are already using statin drugs to control lipid levels.14,15 However, one study found that the standard drug gemfibrozil is more effective than fish oil for reducing triglycerides.94 Some, but not all studies suggest that fish, fish oil, or EPA or DHA separately may additionally raise the level of HDL ("good") cholesterol.96,97,151,164,165 This too should help prevent heart disease. Additionally, fish oil may help the heart by "thinning" the blood and by reducing blood levels of homocysteine.98,176 Studies contradict one another on whether fish oil can lower blood pressure,99104,177 but on balance the supplement does seem to exert a modest positive effect.174 A 6-week, double-blind, placebo-controlled 278 Glen Swartwout study of 59 overweight men suggests that the DHA in fish oil, but not the EPA, is responsible for this benefit.105 Rheumatoid Arthritis The results of numerous small double-blind trials indicate that omega-3 fatty acids in fish oil can help reduce the symptoms of rheumatoid arthritis.126,127,179,187 The benefits of fish oil effect may be enhanced by a vegetarian diet.187 However, unlike some conventional treatments, fish oil probably does not slow the progression of rheumatoid arthritis. Menstrual Pain Regular use of fish oil may reduce the pain of menstrual cramps. In a 4-month study of 42 young women aged 15 to 18, half the participants received a daily dose of 6 g of fish oil, providing 1,080 mg of EPA and 720 mg of DHA daily.128 After 2 months, they were switched to placebo for another 2 months. The other group received the same treatments in reverse order. The results showed that these young women experienced significantly less menstrual pain while they were taking fish oil. Another double-blind study followed 78 women, who received either fish oil, seal oil, fish oil with vitamin B12 (7.5 mcg daily), or placebo for three full menstrual periods.129 Significant improvements were seen in all treatment groups, but the fish oil plus B12 proved most effective, and its benefits continued for the longest time after treatment was stopped (3 months). The researchers offered no explanation why B12 should be helpful. Bipolar Disorder A 4-month, double-blind, placebo-controlled study of 30 individuals suggests that fish oil can enhance the effects of standard treatments for bipolar disorder, reducing risk of relapse and improving emotional state.130 Eleven of the 14 individuals who took fish oil improved or remained well during the course of the study, while only 6 out of the 16 given placebo responded similarly. The study will now be repeated by Baylor University and Harvard Medical School/McLean Hospital, enrolling 120 people for a period of 3 years. Materia Medica Depression A 4-week, double-blind, placebo-controlled trial evaluated the potential benefits of fish oil in 20 individuals with depression.154 All but one participant were also taking standard antidepressants and had been taking them for at least 3 months. By week 3, the level of depression had improved to a significantly greater extent in the fish oil group than in placebo group. Six of 10 participants given fish oil, but only one of 10 given placebo, showed at least a 50% reduction in depression scores by the end of the trial. (A reduction of this magnitude is considered a “cure.”) A double-blind, placebo-controlled study of 70 people who were still depressed despite standard therapy found that additional treatment with ethyl-EPA (a modified form of EPA) improved symptoms.175 However, one double-blind study failed to find DHA alone helpful for depression.1, 88 Raynaud's Phenomenon In small, double-blind studies, fish oil has been found to reduce the severe finger and toe responses to cold temperatures that occur in Raynaud's phenomenon.131,132 However, these studies suggest that a higher than usual dosage must be used to get results, perhaps 12 g daily. Osteoporosis There is some evidence that essential fatty acids may enhance the effectiveness of calcium in osteoporosis. In one study, 65 postmenopausal women were given calcium along with either placebo or a combination of omega-6 fatty acids (from evening primrose oil) and omega-3 fatty acids (from fish oil) for a period of 18 months. At the end of the study period, the group receiving essential fatty acids had higher bone density and fewer fractures than the placebo group.135 However, a 12-month, double blind trial of 42 postmenopausal women found no benefit.136 The explanation for the discrepancy may lie in the differences between the women studied. The first study involved women living in nursing homes, while the second studied healthier women living on their own. The latter group of women may have been better nourished and already received enough essential fatty acids in their diet. 280 Glen Swartwout Lupus Lupus is a serious autoimmune disease that can cause numerous problems, including fatigue, joint pain, and kidney disease. One small, 34-week, double-blind, placebo-controlled crossover study compared placebo against daily doses of EPA (20 g) from fish oil.137 A total of 17 individuals completed the trial. Of these, 14 showed improvement when taking EPA, while only 4 did so when treated with placebo. Other small studies failed to find fish oil helpful for lupus nephritis (kidney damage caused by lupus).138,139 Attention Deficit and Hyperactivity Disorder (ADHD) Essential fatty acids are essential for brain development and function. EFAs are helpful for ADHD and learning. A double-blind, placebo-controlled trial of fish oil and evening primrose oil improves ADHD symptoms.140 DHA is not effective, on the other hand, when children are taking stimulant drugs in a double-blind, placebo-controlled trial.141 Safety Fish oils should be assayed for purity as they can contain toxins such as heavy metals, organochlorines and PCBs.166 Fish oil is a gentle blood-thinner, so check with your physician before combining it with blood-thinning drugs Coumadin (warfarin, rat poison) or heparin. Contrary to some reports, fish oil does not appear to cause bleeding,142 even with aspirin.143 Fish oil doesn't raise blood sugar levels in diabetics.144,145 Fish oil can temporarily raise the LDL cholesterol level.146,147 If you use cod liver oil, read the label and stay within the safe maximum intake of vitamin A and vitamin D. These vitamins are fat soluble, so they can potentially build up to toxic levels. The official maximum daily intake of vitamin A is 3,000 mcg for adults including pregnant women. Materia Medica Interactions EPA and DHA could reduce the need for Coumadin (warfarin) and Heparin. Talk to your physician before combining. References 1. Harris WS. N-3 fatty acids and serum lipoproteins: human studies. Am J Clin Nutr. 1997;65(5 suppl):S1645S1654. 2. Shekelle RB, Shryock AM, Paul O, et al. Diet, serum cholesterol, and death from coronary heart disease. The Western Electric Study. N Engl J Med. 1981;304:6570. 3. Kromhout D, Bosschieter EB, De Lezenne Coulander C. The inverse relation between fish consumption and 20- year mortality from coronary heart disease. N Engl J Med. 1985;312:12051209. 4. Harris WS. N-3 fatty acids and serum lipoproteins: human studies. Am J Clin Nutr. 1997;65(5 suppl):S1645S1654. 5. Cobiac L, Clifton PM, Abbey M, et al. Lipid, lipoprotein, and hemostatic effects of fish vs fish-oil n3 fatty acids in mildly hyperlipidemic males. 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The treatment of idiopathic recurrent urolithiasis with fish oil (EPA) and evening primrose oil (GLA)—a double blind study. J Urol. 1993;149:253A. 57. Norrish AE, Skeaff CM, Arribas GLB, et al. Prostate cancer risk and consumption of fish oils: a dietary biomarker-based case-control study. Br J Cancer. 1999;81:12381242. 58. Behan PO, Behan WM, Horrobin D. Effect of high doses of essential fatty acids on the postviral fatigue syndrome. Acta Neurol Scand. 1990;82:209216. 59. Warren G, McKendrick M, Peet M. The role of essential fatty acids in chronic fatigue syndrome. A case-controlled study of red-cell membrane essential fatty acids (EFA) and a placebo-controlled treatment study with high dose of EFA. Acta Neurol Scand. 1999;99:112116. 60. Gerbi A, Maixent JM, Ansaldi JL, et al. Fish oil supplementation prevents diabetes-induced nerve conduction velocity and neuroanatomical changes in rats. J Nutr. 1999;129:207213. 286 Glen Swartwout 61. Halsted CH, Ghandi G, Tamura T. 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A randomized, double-blind, placebo-controlled trial of docosahexaenoic acid supplementation in children with attention-deficit/hyperactivity disorder. J Pediatr. 2001;139:189196. 90. Harris WS. N-3 fatty acids and serum lipoproteins: human studies. Am J Clin Nutr. 1997;65(5 suppl):S1645S1654. 91. Durrington PN, Bhatnagar D, Mackness MI, et al. An omega-3 polyunsaturated fatty acid concentrate administered for one year decreased triglycerides in simvastatin treated patients with coronary heart disease and persisting hypertriglyceridaemia. Heart. 2001;85:544548. 92. Harris WS. N-3 fatty acids and lipoproteins: comparison of results from human and animal studies. Lipids. 1996;31:243252. 93. Nenseter MS, Osterud B, Larsen T, et al. Effect of Norwegian fish powder on risk factors for coronary heart disease among hypercholesterolemic individuals. Nutr Metab Cardiovasc Dis. 2000;10:323330. 94. van Dam M, Stalenhoef AF, Wittekoek J, et al. Efficacy of concentrated n-3 fatty acids in hypertriglyceridaemia: a comparison with gemfibrozil. Clin Drug Invest. 2001;21:175181. 95. Montori VM, Farmer A, Wollan PC, et al. Fish oil supplementation in type 2 diabetes: a quantitative systematic review. Diabetes Care. 2000;23:14071415. 96. Cobiac L, Clifton PM, Abbey M, et al. Lipid, lipoprotein, and hemostatic effects of fish vs fish-oil n3 fatty acids in mildly hyperlipidemic males. Am J Clin Nutr. 1991;53:12101216. Materia Medica 97. Harris WS. N-3 fatty acids and serum lipoproteins: human studies. Am J Clin Nutr. 1997;65(5 suppl):S1645S1654. 98. Dyerberg J. N-3 fatty acids and coronary artery disease: potentials and problems. Omega-3, Lipoproteins, and Atherosclerosis. 1996;27:251258. 99. Lungershausen YK, Abbey M, Nestel PJ, et al. Reduction of blood pressure and plasma triglycerides by omega-3 fatty acids in treated hypertensives. J Hypertens. 1994;12:10411045. 100. Radack K, Deck C, Huster G. The effects of low doses of n-3 fatty acid supplementation on blood pressure in hypertensive subjects. A randomized controlled trial. Arch Intern Med. 1991;151:11731180. 101. Singer P, Jaeger W, Wirth M, et al. Lipid and bloodpressure-lowering effect of mackerel diet in man. Atherosclerosis. 1983;49:99108. 102. Singer P, Melzer S, Goschel M, et al. Fish oil amplifies the effect of propranolol in mild essential hypertension. Hypertension. 1990;16:682691. 103. Appel LJ, Miller ER III, Seidler AJ, et al. Does supplementation of diet with 'fish oil' reduce blood pressure? A meta-analysis of controlled clinical trials. Arch Intern Med. 1993;153:14291438. 104. Whelton PK, Kumanyika SK, Cook NR, et al. Efficacy of nonpharmacologic interventions in adults with high-normal blood pressure: Results from phase 1 of the Trials of Hypertension Prevention. Am J Clin Nutr. 1997;65(suppl 2):S652S660. 105. Mori TA, Bao DQ, Burke V, et al. Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans. Hypertension. 1999;34:253260. 106. Guallar E, Hennekens CH, Sacks FM, et al. A prospective study of plasma fish oil levels and incidence of myocardial infarction in U.S. male physicians. J Am Coll Cardiol. 1995;25:387394. 107. Iso H, Rexrode KM, Stampfer MJ, et al. Intake of fish and omega-3 fatty acids and risk of stroke in women. JAMA. 2001;285:304312. 108. Kromhout D, Bosschieter EB, de Lezenne Coulander C. The inverse relation between fish consumption and 20-year mortality from coronary heart disease. N Engl J Med. 1985;312:12051209. 290 Glen Swartwout 109. Shekelle RB, Missell LV, Paul O, et al. Fish consumption and mortality from coronary heart disease [letter]. N Engl J Med. 1985;313:820821. 110. Dolecek TA, Granditis G. Dietary polyunsaturated fatty acids and mortality in the Multiple Risk Factor Intervention Trial (MRFIT). World Rev Nutr Diet. 1991;66:205216. 111. Kromhout D, Feskens EJ, Bowles CH. The protective effect of a small amount of fish on coronary heart disease mortality in an elderly population. Int J Epidemiol. 1995;24:340345. 112. Vollset SE, Heuch I, Bjelke E. Fish consumption and mortality from coronary heart disease [letter]. N Engl J Med. 1985;313:820821. 113. Curb JD, Reed DM. Fish consumption and mortality from coronary heart disease [letter]. N Engl J Med. 1985;313:821822. 114. Burr ML, Fehily AM, Gilbert JF, et al. Effects of changes in fat, fish, and fibre intakes on death and myocardial reinfarction: diet and reinfarction trial (DART). Lancet. 1989;2:757761. 115. Ascherio A, Rimm EB, Stampfer MJ, et al. Dietary intake of marine n-3 fatty acids, fish intake, and the risk of coronary disease among men. N Engl J Med. 1995;332:977982. 116. Leaf A, Jorgensen MB, Jacobs AK, et al. Do fish oils prevent restenosis after coronary angioplasty? Circulation. 1994;90:22482257. 117. Sacks FM, Stone PH, Gibson CM, et al. Controlled trial of fish oil for regression of human coronary atherosclerosis. HARP Research Group. J Am Coll Cardiol. 1995;25:14921498. 118. [No authors listed]. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto miocardico. Lancet. 1999;354:447455. 119. Angerer P, Stork S, Kothny W, et al. Effect of marine omega-3 fatty acids on peripheral atherosclerosis in patients with coronary artery disease—a randomised 2 year intervention trial [abstract]. Eur Heart J. 2001;22(suppl):162. 120. de Lorgeril M, Renaud S, Mamelle N, et al. Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease. Lancet. 1994;343:14541459. Materia Medica 121. Siscovick DS, Raghunathan TE, King I, et al. Dietary intake and cell membrane levels of long-chain n3 polyunsaturated fatty acids and the risk of primary cardiac arrest. JAMA. 1995;274:13631367. 122. Billman GE, Hallaq H, Leaf A. Prevention of ischemia-induced ventricular fibrillation by omega 3 fatty acids. Proc Natl Acad Sci U S A. 1994;91:44274430. 123. Sellmayer A, Witzgall H, Lorenz RL, et al. Effects of dietary fish oil on ventricular premature complexes. Am J Cardiol. 1995;76:974977. 124. Burr ML, Fehily AM, Gilbert JF, et al. Effects of changes in fat, fish, and fibre intakes on death and myocardial reinfarction: diet and reinfarction trial (DART). Lancet. 1989;2:757761. 125. Nilsen DW, Albrektsen G, Landmark K, et al. Effects of a high-dose concentrate of n-3 fatty acids or corn oil introduced early after an acute myocardial infarction on serum triacylglycerol and HDL cholesterol. Am J Clin Nutr. 2001;74:5056. 126. James MJ, Cleland LG. Dietary n-3 fatty acids and therapy for rheumatoid arthritis. Semin Arthritis Rheum. 1997;27:8597. 127. Volker D, Fitzgerald P, Major G, et al. Efficacy of fish oil concentrate in the treatment of rheumatoid arthritis. J Rheumatol. 2000;27:23432346. 128. Harel Z, Biro FM, Kottenhahn RK, et al. Supplementation with omega-3 polyunsaturated fatty acids in the management of dysmenorrhea in adolescents. Am J Obstet Gynecol. 1996;174:13351338. 129. Deutch B, Jorgensen EB, Hansen JC. Menstrual discomfort in Danish women reduced by dietary supplements of omega-3 PUFA and B12 (fish oil or seal oil capsules). Nutr Res. 2000;20:621631. 130. Stoll AL, Severus WE, Freeman MP, et al. Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial. Arch Gen Psychiatry. 1999;56:407412. 131. DiGiacomo RA, Kremer JM, Shah DM. Fish-oil dietary supplementation in patients with Raynaud's phenomenon: a double-blind, controlled, prospective study. Am J Med. 1989;86:158164. 132. Ringer TV, Hughes GS, Spillers CR, et al. Fish oil blunts the pain response to cold pressor testing in normal males [abstract]. J Am Coll Nutr. 1989;8:435. 292 Glen Swartwout 133. Bittiner SB, Cartwright I, Tucker WFG, et al. A double-blind, randomised, placebo-controlled trial of fish oil in psoriasis. Lancet. 1988;1:378380. 134. Soyland E, Funk J, Rajka G, et al. Effect of dietary supplementation with very-long-chain n3 fatty acids in patients with psoriasis. N Engl J Med. 1993;328:18121816. 135. Kruger MC, Coetzer H, de Winter R, et al. Calcium, gamma-linolenic acid and eicosapentaenoic acid supplementation in senile osteoporosis. Aging (Milano). 1998;10:385394. 136. Bassey EJ, Littlewood JJ, Rothwell MC, et al. Lack of effect of supplementation with essential fatty acids on bone mineral density in healthy pre- and postmenopausal women: two randomized controlled trials of EfacalW v. calcium alone. Br J Nutr. 2000;83:629635. 137. Walton AJE, Snaith ML, Locniskar M, et al. Dietary fish oil and the severity of symptoms in patients with systemic lupus erythematosus. Ann Rheum Dis. 1991;50:463466. 138. Clark WF, Parbtani A, Naylor CD, et al. Fish oil in lupus nephritis: clinical findings and methodological implications. Kidney Int. 1993;44:7586. 139. Clark WF, Parbtani A. Omega-3 fatty acid supplementation in clinical and experimental lupus nephritis. Am J Kidney Dis. 1994;23:644647. 140. Richardson AJ, Puri BK. A randomized double-blind, placebo-controlled study of the effects of supplementation with highly unsaturated fatty acids on ADHD-related symptoms in children with specific learning difficulties. Prog Neuropsychopharmacol Biol Psychiatry. 2002;26:233239. 141. Voigt RG, Llorente AM, Jensen CL, et al. A randomized, double-blind, placebo-controlled trial of docosahexaenoic acid supplementation in children with attention-deficit/hyperactivity disorder. J Pediatr. 2001;139:189196. 142. Harris WS. Dietary fish oil and blood lipids. Curr Opin Lipidol. 1996;7:37. 143. Leaf A, Jorgensen MB, Jacobs AK, et al. Do fish oils prevent restenosis after coronary angioplasty? Circulation. 1994;90:22482257. 144. Harris WS. Dietary fish oil and blood lipids. Curr Opin Lipidol. 1996;7:37. Materia Medica 145. Montori VM, Farmer A, Wollan PC, et al. Fish oil supplementation in type 2 diabetes: a quantitative systematic review. Diabetes Care. 2000;23:14071415. 146. Cobiac L, Clifton PM, Abbey M, et al. Lipid, lipoprotein, and hemostatic effects of fish vs fish-oil n3 fatty acids in mildly hyperlipidemic males. Am J Clin Nutr. 1991;53:12101216. 147. Harris WS. Dietary fish oil and blood lipids. Curr Opin Lipidol. 1996;7:37. 148. Fenton WS, Dickerson F, Boronow J, et al. A placebo-controlled trial of omega-3 fatty acid (ethyl eicosapentaenoic acid) supplementation for residual symptoms and cognitive impairment in schizophrenia. Am J Psychiatry. 2001;158:2071-2074. 149. Pradalier A, Bakouche P, Baudesson G, et al. Failure of omega-3 polyunsaturated fatty acids in prevention of migraine: a double-blind study versus placebo. Cephalalgia. 2001;21:818-822. 150. Singh RB, Niaz MA, Sharma JP, et al. Randomized, double-blind, placebo-controlled trial of fish oil and mustard oil in patients with suspected acute myocardial infarction: the Indian experiment of infarct survival--4. Cardiovasc Drugs Ther. 1997;11:485-491. 151. Yam D, et. al. The effect of omega-3 fatty acids on risk factors for cardiovascular diseases. Harefuah. 2001;140:1156-1158. 152. Bucher HC, Hengstler P, Schindler C, et al. N-3 polyunsaturated fatty acids in coronary heart disease: a meta-analysis of randomized controlled trials. Am J Med. 2002;112:298-304. 153. Schmitz PG, McCloud LK, Reikes ST, et al. Prophylaxis of hemodialysis graft thrombosis with fish oil: double-blind, randomized, prospective trial. J Am Soc Nephrol. 2002;13:184-190. 154. Nemets B, Stahl Z, Belmaker RH. Addition of omega-3 fatty acid to maintenance medication treatment for recurrent unipolar depressive disorder. Am J Psychiatry. 2002;159:477-479. 155. Vaddadi KS, Soosai E, Chiu E, et al. A randomised, placebo-controlled, double blind study of treatment of Huntington's disease with unsaturated fatty acids. Neuroreport. 2002;13:29-33. 156. Marchioli R, Barzi F, Bomba E, et al. Early protection against sudden death by n-3 polyunsaturated fatty acids after myocardial infarction: time-course analysis of the results of the Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico (GISSI)-Prevenzione. Circulation. 2002;105:1897-1903. 294 Glen Swartwout 157. Rudra PK, Krokan HE. Cell-specific enhancement of doxorubicin toxicity in human tumour cells by docosahexaenoic acid. Anticancer Res. 2001;21(1A):29-38. 158. Hardman WE, Moyer MP, Cameron IL. Consumption of an omega-3 fatty acids product, INCELL AAFA, reduced side-effects of CPT-11 (irinotecan) in mice. Br J Cancer. 2002;86:983-988. 159. Middleton SJ, Naylor S, Woolner J, et al. A double-blind, randomized, placebo-controlled trial of essential fatty acid supplementation in the maintenance of remission of ulcerative colitis. Aliment Pharmacol Ther. 2002;16:1131-1135. 160. Mori TA, Burke V, Puddey IB, et al. Purified eicosapentaenoic and docosahexaenoic acids have differential effects on serum lipids and lipoproteins, LDL particle size, glucose, and insulin in mildly hyperlipidemic men. Am J Clin Nutr. 2000;71:1085-1094. 161. Rambjor GS, Walen AI, Windsor SL Eicosapentaenoic acid is primarily responsible for hypotriglyceridemic effect of fish oil in humans. Lipids. 1996;31 Suppl:S45-49. 162. Agren JJ, Hanninen O, Julkunen A, et al. Fish diet, fish oil and docosahexaenoic acid rich oil lower fasting and postprandial plasma lipid levels. Eur J Clin Nutr. 1996;50:765-771. 163. Childs MT, King IB, Knopp RH. Divergent lipoprotein responses to fish oils with various ratios of eicosapentaenoic acid and docosahexaenoic acid. Am J Clin Nutr. 1990;52:632-639. 164. Davidson MH, Maki KC, Kalkowski J, et al. Effects of docosahexaenoic acid on serum lipoproteins in patients with combined hyperlipidemia: a randomized, double-blind, placebo-controlled trial. J Am Coll Nutr. 1997;16:236-243. 165. Leigh-Firbank EC, Minihane AM, Minihane AM, et al. Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses. Br J Nutr. 2002;87:435-445. 166. Jacobs MN, Santillo D, Johnston PA, et al. Organochlorine residues in fish oil dietary supplements: comparison with industrial grade oils. Chemosphere. 1998;37:1709-1721. 167. Geleijnse JM, Giltay EJ, Grobbee DE, et al. Blood pressure response to fish oil supplementation: metaregression analysis of randomized trials. J Hypertens. 2002;20:1493-1499. Materia Medica 168. Peet M, Horrobin DF. A dose-ranging study of the effects of ethyl-eicosapentaenoate in patients with ongoing depression despite apparently adequate treatment with standard drugs. Arch Gen Psychiatry. 2002;59:913-919. 169. Emsley R, Myburgh C, Oosthuizen P, et al. Randomized, placebo-controlled study of ethyl- eicosapentaenoic Acid as supplemental treatment in schizophrenia. Am J Psychiatry. 2002;159:1596-1598. 170. Fenton WS, Dickerson F, Boronow J, et al. A placebo-controlled trial of omega-3 fatty acid (ethyl eicosapentaenoic acid) supplementation for residual symptoms and cognitive impairment in schizophrenia. Am J Psychiatry. 2001;158:2071-2074. 171. Nagakura T, Matsuda S, Shichijyo K, et al. Dietary supplementation with fish oil rich in omega-3 polyunsaturated fatty acids in children with bronchial asthma. Eur Respir J. 2000;16:861865. 172. Harel Z, Gascon G, Riggs S, et al. Supplementation with omega-3 polyunsaturated fatty acids in the management of recurrent migraines in adolescents. J Adolesc Health. 2002;31:154-161. 173. Glueck CJ, McCarren T, Hitzemann R, et al. Amelioration of severe migraine with omega-3 fatty acids: a double-blind, placebo-controlled clinical trial [abstract]. Am J Clin Nutr. 1986;43:710. 174. Geleijnse JM, Giltay EJ, Grobbee DE, et al. Blood pressure response to fish oil supplementation: metaregression analysis of randomized trials. J Hypertens. 2002;20:1493-1499. 175. Peet M, Horrobin DF. A dose-ranging study of the effects of ethyl-eicosapentaenoate in patients with ongoing depression despite apparently adequate treatment with standard drugs. Arch Gen Psychiatry. 2002;59:913-919. 176. Woodman RJ, Mori TA, Burke V, et al. Effects of purified eicosapentaenoic acid and docosahexaenoic acid on platelet, fibrinolytic and vascular function in hypertensive type 2 diabetic patients. Atherosclerosis. 2003;166:8593. 177. Mangoni AA, Sherwood RA, Swift CG, et al. Folic acid enhances endothelial function and reduces blood pressure in smokers: a randomized controlled trial. J Intern Med. 2002;252:497503. 178. Marchioli R, Schweiger C, Tavazzi L, et al. Efficacy of n-3 polyunsaturated fatty acids after myocardial infarction: results of GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico. Lipids. 2001;36(Suppl):S119S126. 296 Glen Swartwout 179. Cleland L, James M, Proudman S. The role of fish oils in the treatment of rheumatoid arthritis. Drugs. 2003;63:845853. 180. Zanarini MC, Frankenburg FR. Omega-3 Fatty Acid treatment of women with borderline personality disorder: a double-blind, placebo-controlled pilot study. Am J Psychiatry. 2003;160:167169. 181. Barber MD. Cancer cachexia and its treatment with fish-oil-enriched nutritional supplementation. Nutrition. 2001;17:751755. 182. Bruera E, Strasser F, Palmer JL, et al. Effect of fish oil on appetite and other symptoms in patients with advanced cancer and anorexia/cachexia: a double-blind, placebo-controlled study. J Clin Oncol. 2003;21:129134. 183. Helland IB, Smith L, Saarem K, et al. Maternal supplementation with very-long-chain n-3 fatty acids during pregnancy and lactation augments children's IQ at 4 years of age. Pediatrics. 2003;111:E39E44. 184. Smuts CM, Huang M, Mundy D, et al. Plasse T, Major S, Carlson SE. A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy. Obstet Gynecol. 2003;101:469479. 185. Olsen SF, Sorensen JD, Secher NJ, et al. Randomised controlled trial of effect of fish-oil supplementation on pregnancy duration. Lancet. 1992;339:10031007. 186. Blommers J, De Lange-De Klerk ES, Kuik DJ, et al. Evening primrose oil and fish oil for severe chronic mastalgia: A randomized, double-blind, controlled trial. Am J Obstet Gynecol. 2002;187:13891394. 187. Adam O, Beringer C, Kless T, et al. Anti-inflammatory effects of a low arachidonic acid diet and fish oil in patients with rheumatoid arthritis. Rheumatol Int. 2003;23:2736. 188. Marangell LB, Martinez JM, Zboyan HA, et al. A double-blind, placebo-controlled study of the omega-3 fatty acid docosahexaenoic acid in the treatment of major depression. Am J Psychiatry. 2003;160:996998. More fishy research Commercial fish oil supplements are usually free of heavy-metals. Fish oils tested at Harvard Medical School did not have significant amounts of mercury. Materia Medica Arch Pathol Lab Med. 2003 Dec; 127(12):1603-5 A 1989 study of 22 brands of fish oil in Germany found negligible amounts of heavy metals. Z Ernahrungswiss. 1989; 28(1):76-83 Fish oil prolongs gestation and minimizes the occurrence of premature birth. Int J Epidemiol 2001 Dec; 30(6):1272-8 A baby's nervous system requires omega-3 oils found in fish. About 3000 mg of supplemental fish oil is recommended per day during pregnancy. The U.S. Food and Drug Administration recommends that pregnant women, women of childbearing age, and young children avoid eating shark, swordfish, mackerel, and tilefish. J Obstet Gynecol Neonatal Nurs. 2002 National Institutes of Health investigated in the Seychelle Islands where mothers consume fish about 12 times per week. Fish in Seychelles contain about the same concentration of mercury as commercial ocean fish. Language, memory, motor, perceptual-motor, and behavioral development was normal at 9 years of age. Lancet. 2003 May 17; 361(9370):1686-92 In French Guiana, mercury from gold mining did not produce major nervous system problems, but gold is also an antidote for mercury. Environ Res. 2002; 89(1):1-11 Fish-eating Brazilian Amazon women reduce mercury levels by eating more fruit. Environ Res. 2003 Oct; 93(2):123-30 Japanese and Eskimos that consume the most fish are among the healthiest people on Earth. Fatty Acid Combinations Udo's Choice combination is recommended as a combination liquid EFA supplement. 298 Glen Swartwout Efalex is an EFA combination designed specifically for learning disabilities. Amino Acids & Polypeptides Amino acids are ubiquitous to Earth's carbon based life forms, but are also formed in space. The first to be identified was glycine in 1994 in the molecular cloud Saggitarius B2. Right polarized UV light, such as is thought to exist in the Orion Nebula, where other wavelengths of polarized light can be detected, is able to break down right handed molecules, leaving left handed ones, the kind used exclusively in terrestrial life. We are children of a living universe. Amino acids are the building blocks of protein. Protein is essential for life. All essential amino acids must be present simultaneously to properly synthesize protein and thereby facilitate cell repair. Full spectrum sources include free-range eggs as one of the best amino acid sources, especially when boiled or poached, so that they are not oxidized in cooking. Raw eggs should be dipped in boiling water briefly so that Vitamin B12 is not destroyed by avidin binding. Katuk is one of the best vegetable protein sources, being grown in Africa now to prevent starvation. Predigested proteins are another excellent source, including One Step, Medipro, Hydrolyzed Whey Lactalbumin, and whitefish protein (SeaCure). Free form amino acids are also available individually and in combinations for specific therapeutic purposes, including neurotransmitter repletion. Introduction A protein can be defined as any substance, which is made of amino acids in peptide linkage. The word "protein" comes from the Greek protos, "first," deservedly enough, as it is the basic constituent of all living cells. Protos may also be the root of the name of Proteus, a mythological figure who could change form; appropriately, food protein changes form to become human substance after being eaten. Protein makes up three-fourths of the dry weight of most body cells. Proteins are also involved in the biochemical structure of hormones, enzymes, nutrient carriers, antibodies and many other substances and functions essential to life. Materia Medica Simple proteins made up of only a few amino acids are called peptides. One should note that the word peptide comes from the Greek peptos, "cooked," a rather poetic way of referring to digestion. Peptides are often no more than digested proteins. Many peptides are absorbed directly into the bloodstream after eating. New roles for these very small proteins are being discovered almost daily, it seems. For example, many peptides work as neurotransmitters and as natural pain-relieving substances in the brain. Scientists now know that protein as peptides can be absorbed immediately, without digestion, into the bloodstream. However, the majority of proteins are broken down into amino acids before absorption. It is these amino acids that are the primary building blocks of human life. What Is an Amino Acid? "Protein" is a well-recognized term, while the term "amino acid" can be confusing. Amino acids are made up of a weakly acid molecule group in conjunction with a strongly basic amino molecule group. The mild basic or acidic quality of amino acids is too minimal to affect acid-base balance in the body, which is preserved by multitudes of protective buffer systems. Thus we hope the misnomer, "amino acid," will cease to confuse our readers. Amino acids can be thought of as useful ammoniated vinegars. Glycine, for example, has a more correct chemical name: alpha aminoacetic acid. Since "amino" also means ammonia and acetic acid is vinegar, we can call this amino acid "ammoniated vinegar." This basic structure found in glycine is common to all amino acids. Smelling salts are usually ammonium carbonate, which can restore sensibility to people who have become faint. Vinegar, when added to salads and other foods, makes the taste of food more palatable. Similarly, some amino acids improve flavor or stimulate the mind. They also can control depression or produce sleep. Eight of the amino acids perform functions indispensable if the body is to stay alive; they are termed "essential" and must be consumed daily by everyone. When acid or "vinegar" portions are removed from the amino acids, the basic amines become messengers in the nervous system. When the amine or ammonium portions are removed, the remaining "acid" can be used for fuel, detoxification, or in many processes throughout the body. The amino acids play innumerable roles in human health and disease. 302 Glen Swartwout Essential Amino Acids The necessity for protein and amino acids in the diet becomes cruelly evident during great famines. Children suffering from kwashiorkor (protein-calorie malnutrition)-with their grossly protruding abdomens, atrophied muscle mass and mental retardation-vividly demonstrate the essential nature of proteins and amino acids. Minimum protein requirements for a healthy adult represent the sum of the requirements for each of the eight essential amino acids, plus sufficient utilizable nitrogen to maintain overall synthesis of nitrogencontaining molecules. Nitrogen is lost in urine, feces, skin, hair, nails, semen and menstrual discharge. Although there are considerable problems in determining a minimum protein requirement, it seems to be on the order of 0.3 to 0.4 gram of protein per kilo (2.2 pounds) of body weight per day or about 30 to 40 grams for the average adult male. This assumes a majority of the protein consumed is high-quality protein and contains all or most of the essential amino acids. The current recommended dietary allowance (RDA) is 44 to 56 grams per day. In America even vegetarian diets contain 80 to 100 grams of protein per day. However, the RDA is far from optimal and is useful only as a minimum requirement. The World Health Organization suggests that a newborn infant needs dietary protein that contains 37 percent of its weight in the form of essential amino acids, whereas for adults the figure is less than half that, or about 15 percent. People often do not realize their need for amino acids, because they are not aware of how busy the human body is. Every second the bone marrow makes 2.5 million red cells. Every four days most of the lining of the gastrointestinal tract and the blood platelets are replaced. Most of the white cells are replaced in ten days. A person has the equivalent of new skin in twenty-four days and bone collagen in thirty years. All this continuous repair work requires amino acids. The list of the essential amino acids was begun by scientists in the early 1900s. The main essential amino acids are now known to be lysine, leucine, isoleucine, methionine, phenylalanine, threonine, tryptophan and valine. A person would begin to die without ingesting these amino acids daily, although the gut flora (bacteria) provide small quantities of each of them. This actual continuous low level of synthesis is essential; otherwise, symptoms of their absence would be noticed often throughout the day. Histidine and taurine are also essential amino acids for early growth and development in premature infants and possibly for all neonates. Preterm babies are also known to require cysteine, because the fetal liver cannot convert methionine to cysteine. Materia Medica Determination of the ideal intake of these amino acids is more difficult than determination of the minimum daily requirement. There are many other amino acids besides the essential ones that the human body normally manufactures. These nonessential amino acids may become essential to a particular individual through an inborn error of metabolism. If an enzyme, necessary for the manufacture of a particular amino acid by the body is absent, that amino acid becomes an essential requirement of the diet. Nonessential amino acids can also become essential during disease or stress when there is either increased need and/or increased breakdown of them. Many other amino acids occur in man in very small amounts; as yet little is known about these. Furthermore, peptides (made up of two or more amino acids) are also thought to be essential dietary constituents that the body cannot make, but these peptides are not well understood. In the future the list of essential and nonessential amino acids may well be expanded. Amino acid requirements are vastly increased by disease and by inborn metabolic errors. Virtually all stress states require more amino acids, some more than others do; distinguishing the source of the increased amino acid requirements is often difficult. Burn patients require more amino acids because of oozing wounds, while one type of schizophrenic may have a recently expressed inborn error of metabolism which dictates the need for less wheat gluten or serine Certain cancers can be starved by withholding their "favorite' amino acids. For example, melanomas consume excessive phenylalanine and tyrosine; reducing these two amino acids in a cancer patient's diet can slow tumor growth. The understanding and manipulation of required amino acids in the diet is essential in maintaining health and controlling disease. Metabolism of Amino Acids as an Energy Source The body breaks down excess amino acids essentially into either fat or sugar to obtain energy. The amino acids, which are transferred into sugar are called glycogenic. The amino acids, which are broken down into fat are called ketogenic. All amino acids are valuable energy sources. Inborn Errors of Metabolism: Genetic Diseases Many important clues about amino acid metabolism come from studies of patients with inborn errors, as they are called. All of the amino acids discussed in this book are involved in biochemical pathways, which can malfunction due to genetic disease. These inborn metabolic errors teach about the toxicity of amino 304 Glen Swartwout acids (which often causes convulsions) and can occur when blood levels are increased five to twenty times above normal. Conversely, other inborn errors can cause deficiency symptoms. An understanding of genetic metabolic errors is revealing the secrets of nutrient interactions among the amino acids. Such studies reveal the basis for mega amino acid therapy, and help explain the reasons why some individuals need 3 grams of tryptophan daily whereas others need an extra gram of phenylalanine daily. Metabolism within the Brain The most exciting area of amino acid research is the study of brain metabolism. Communication within the brain and between the brain and the rest of the nervous system occurs through chemical "languages," called neurotransmitters. There are about fifty such languages; the amino acids, either as precursors, neurotransmitters or peptides account for the majority of them. The central nervous system is almost completely regulated by amino acids and peptides. The brain's amino acids are now being recognized for their importance, and amino acid therapies are revolutionizing the treatment of psychiatric disease. In each chapter, we describe a particular amino acid's therapeutic potential in psychiatry and the regulation of brain function. Amino Acids as Precursors Amino acids are present and important throughout the body. For example, muscle is very high in protein and amino acids. The heart muscle and other organs derive their structure and function primarily from amino acids. When the brain and other organs such as muscles, "talk" to each other, amino acid-related neurotransmitters are again the primary language. Throughout the body, the amino acids have important functions themselves and as precursors for the manufacture of other important substances. This is the reason that they have so much potential value in medicine and surgery. Precursor Functions of Some Amino Acids Arginine is a precursor of Spermine, Spermidine, and Putrescine. Aspartic acid is a precursor of the Pyrimidines. Glutamic acid is one of the precursors of the tripeptide Glutathione. Materia Medica Glycine is a precursor of the Purines, Glutathione, Creatine, Phosphocreatine, and Tetrapyrroles. Histidine is a precursor of Histamine and Erothioneine. Lysine is a precursor of Cadaverine, Carnitine, and Amino-caproic acid. Ornithine is a precursor of the Polyamines. Methionine is a precursor of Cysteine and Taurine. Serine is a precursor of Sphingosine and Phosphoserine. Tyrosine is a precursor of Epinephrine, Norepinephrine, Melanin, Thyroxine, Mescaline, Tyramine, Morphine (bacteria), Codeine (bacteria) and Papaverine (bacteria). Tryptophan is a precursor of Nicotinic acid, Serotonin, Kynurenic acid, Indole, Skatole and Indoleacetic acid. Vitamin-Amino Acid Interactions Amino acids and vitamins interact in interesting and important ways. Pyridoxine, or vitamin B6, is the most important vitamin for amino acid metabolism because it is the cofactor for the important enzymes called transaminases, which metabolize amino acids. Riboflavin, B2 and niacin, B3 are the next most important vitamins in amino acid metabolism. An example of amino acid-vitamin interactions is the relationship between tryptophan and niacin. Niacin is not really a vitamin, but is actually made by the body from tryptophan. Thus, supplemental niacin can spare tryptophan to serve other purposes within the body. It is worth noting that unlike the pure carbohydrate structure of vitamin C, the B vitamins all contain nitrogen (amino group). They are also acids. In some ways the B vitamins are amino acids, but they are not incorporated into proteins. Sources of the Essential Amino Acids Both animal and plant proteins contain the known essential amino acids. The removal of even one essential amino acid from the diet leads rather rapidly to a lower level of protein synthesis in the body and eventually 306 Glen Swartwout to death. In general, protein from animal sources is of greater nutritional value because animal proteins are complete and contain all of the essential amino acids, plus the nonessential ones. The extent to which a food's amino acid pattern matches that which the body can use is expressed in the "biological value" of that food. The net protein utilization (NPU) reflects the biological value and the digestibility of a protein-in other words, how much of the protein a person eats is finally available to his body. No food corresponds exactly with the body's required amino acid pattern, but the amino acids in eggs come closest. Therefore, other proteins' NPUs can be rated in relation to the marvelous egg. Green vegetables and fruits are generally not considered because of their negligible protein content. The essential amino acids most commonly lacking in plants are lysine, tryptophan and methionine. All cereals are deficient in lysine; corn and rice are also low in tryptophan and threonine. Soybeans and oils are low in methionine. Legumes are low in methionine and tryptophan; peanuts are deficient in methionine and lysine. Poor quality meats seem to have higher concentrations of less essential and sometimes even toxic amino acids, such as serine and proline. Fermented foods, fungi and other sources of protein are being investigated from the amino acid profile point of view. We believe the value shown for tryptophan is too low and the value shown for lysine is too high. The FDA has considered regulating the amino acid patterns of protein sources to insure proper quality of diet. (Kirschmann and Dunne, 1984). Another criterion for determining amino acid value is to calculate the percent of usable protein; that is, the proportion of usable protein in relation to the total weight of the food. Meats consist of 20 to 30 percent usable protein, ranging from lamb at the bottom to turkey at the top. Soybean flour is 40 percent protein; most cheeses 30 to 35 percent protein; many nuts and seeds between 20 and 30 percent; and peas, lentils and dried beans between 20 and 25 percent. How much is usable amino acids is not known. Whole grains contain a fairly small quantity of protein (12 percent); but so do milk (4 percent) and eggs (13 percent). Thus, in evaluating the value of a protein source, both quality and quantity must be considered. Each chapter in our book provides this information about a particular amino acid, enabling laypeople and dieticians to make sophisticated dietary choices to promote health and alleviate disease. Amino Acid Supplements Amino acids are used in many different forms; some are free forms or undigested forms. We will devote our time here with only the free or individual forms, which are generally well absorbed throughout the body Materia Medica and brain. All the amino acids can enter the brain; some enter more easily than others do. Phenylalanine enters the most easily, followed by leucine, tyrosine, isoleucine, methionine, tryptophan, histidine, arginine, valine, lysine, threonine, serine, alanine, citrulline, proline, glutamic acid and aspartic acid respectively. The essential amino acids in general are better absorbed into the brain than the nonessential. Amino acids could possibly be better absorbed if they were taken in the forms of di- and tri-peptides. In hospital settings, hydrolysates or peptides are often more useful than free form amino acids. For most physicians, nutritionists, and laypeople, use of the individual L form amino acid supplement is best. However, for methionine and phenylalanine, the DL form is better. D (right) and L (left) simply refer to the direction of light rotation by the molecules of the amino acid. The D forms may actually have to be converted by the body to the L forms before being used. Variant or keto forms of individual amino acids also have potential as supplemental substances. Toxicity of amino acids often occurs only at doses 50 to 500 times the therapeutic dose range. Some basic functions of amino acids are: Building/Repairing of body tissues and cells. Support for proper brain function. Production of energy. Manufacturing of enzymes needed for food digestion and cellular function. Production of hormones and glandular secretion. Support for reproductive fertility and virility. L-Alanine has a reducing effect on cholesterol and works with insulin to increase the uptake of nutrients through the cell walls. It is essential in tryptophan and B6 metabolism. L-Asparagine aids in the clearing of ammonia from the liver it is involved in many cell functions within the brain and nerve cells. L-Aspartic Acid helps to increase endurance and decrease fatigue. It works with calcium and magnesium to support the cardiovascular system. It helps combat the damage to the central nervous system helping to remove ammonia from the body. L-Carnitine aids in mobilizing fatty deposits in obesity, reduces triglyceride levels, removes free fatty acids and may protect the health of the heart muscle. Possible relation to fertility. 308 Glen Swartwout L-Cysteine works as an important antioxidant compound with Vitamin E and selenium to supply cell protection from dangerous free radicals. It is an essential component of glucose tolerance factor and necessary for the adequate utilization of B6. Removes heavy metal deposits. It is needed for the formation of keratin, the major protein of skin,hair, and nails. L-Glutamine improves mental activity and memory. It fights fatigue and depression and reduces the craving for sweets and alcohol. A component of glucose tolerance factor and folic acid and helps to detoxify the brain of ammonia. L-Methionine is the principle source of organic sulphur and works by improving the health of the hair, nails and skin. It assists in the breakdown of fats. It helps within the liver in the following ways: Prevention of fat build-up and cholesterol deposits, detoxification and production of lecithin. Important in B12 metabolism. A detoxifying agent for removing heavy metals. An antioxidant protecting against free radicals and necessary in the utilization of selenium. L-Arginine enhances many functions including fat metabolism, thymus activity, insulin production. As well as accelerating wound healing and facilitating the absorption of Manganese. L-Histidine is the precursor to histamine,known for its effectiveness in relieving sinus distress. It is also involved in the maintenance of the myelin sheaths. It is known to diminish the acidity of gastric juices relieving burning sensations and thus it can help with conditions of indigestion, anxiety and morning sickness. It is protective against the affects of radiation and assists in the removal of heavy metals(excess copper built up as a result of smoking). L-Lysine is used in the control, of herpes viral infections. Mental concentration is enhanced. It is essential in the production of L-Carnitine. It pulls cholesterol plaque off of the inside of arteries at high concentrations. Deficiency symptoms may include fatigue, dizziness and anemia. L-Phenylalanine is needed to build protein such as insulin,papain and melanin. It is important in the elimination of waste and is involved closely with the function of the kidney and bladder. It is also a powerful, nontoxic, nontoxic, non-addictive pain killer. It stimulates the production of factors that create satiety and therefore is relevant in weight control. It is a precursor to tyrosine and thence to dopamine, norepinephrine, and epinephrine, which are factors that are responsible for positive moods and mental alertness. Materia Medica L-Threonine is helpful in reversing a fatty liver, which can develop from low protein diets. It is deficient in grains and therefore vegetarians are generally low in this amino acid. Lack of Threonine can cause irritability and cause people to become difficult to get along with. L-Proline is essential for collagen formation and maintenance. It is important in the proper functioning of joints and tendons. Vitamin C is essential for adequate incorporation of proline into the connective tissues. L-Taurine is one of the most abundant amino acids in the body. Research shows its inhibitory action on epilepsy as well as its function in nerve tissue. It spares potassium loss in the heart muscle and influences blood sugar levels. There have been claims made for enhanced IQ levels for Down's Syndrome children together with other nutrients. L-Tyrosine is a precursor of thyroid hormones as wells as dopa, dopamine, norepinephrine and epinephrine. Recent studies have shown its effectiveness in replacing conventional anti-depressant drugs. It is also recognized as important in the generation of red and white blood cells. More detail on individual amino acids is found later in this section... Nutrient-Metabolic Basis of Disease The study of amino acids is making a significant contribution to the understanding of diseases. Nutritional assessment without measuring plasma amino acids is incomplete, and marginal deficiencies of amino acids are significant. We have begun to outline amino acid patterns and deficiencies found in many diseases. Amino acid profiles contribute to the more general concept of metabolic typing. We have developed amino acid therapies that arrest herpes, improve memory, raise depression, relieve arthritis and stress, prevent aging and heart disease, control allergies and improve sleep, arrest alcoholism, restore hair growth and alleviate many other conditions. The study of amino acids is particularly relevant to all disease, because the body normally uses amino acids to promote health and fight disease. For example, during infection, plasma phenylalanine levels increase significantly. By using amino acid therapies, we are using the body's natural medicines. This has allowed us to state two important principles of medicine: 310 Glen Swartwout Imitatio Corporis Imitatio Corporis (Imitation of the Body): In the practice of medicine, it is wise to imitate the body's natural healing mechanisms. For example, when we can't sleep, we need to imitate the body's usual biochemical mechanism of falling asleep, and to give more of the dietary substances, which the body normally uses to put itself to sleep. Every nutrient has at least one therapeutic use in the treatment of disease. Respect for God's mysterious harmonies is the foundation of good health and of a "physical morality." Pfeiffer's Law Pfeiffer's Law: If a drug can be found to do the job of medical healing, a nutrient can be found to do the same job. When we understand how a drug works, we can imitate its action with one of the nutrients. For example, antidepressants usually enhance the effect of serotonin and epinephrines. We now know that if we give the amino acids tryptophan or tyrosine, the body can synthesize these neurotransmitters, thereby achieving the same effect and imitating or adding to the net effect of these drugs. Nutrients have fewer, milder side effects, and the challenge of the future is to replace or sometimes combine drugs with the natural healers called nutrients. At present, less than 20 percent of the current drugs administered by a physician are effective (Klevax, 1984). All the healers a physician needs are in the body, there for the harvesting by future generations of physicians and scientists. Amino acids are an example of this harvest. Indeed, the proof documenting the need for individual amino acid therapy comes from the study of drugs. Many drugs affect certain amino acid levels. Anticonvulsants, for example, seem to elevate the inhibitory neurotransmitters. Taurine and glycine are increased while glutamic acid and aspartic acid are reduced. Amino acid profiles often reflect a drug's mechanism of efficacy. We are learning to replace drugs for many difficult medical conditions with amino acids and are finding good results and fewer side effects. The rabbi doctor Maimonides wrote a thousand years ago, "The knowledge of nutrition is the most helpful thing in the field of medicine because of the constant need for food during health as well as illness."Because of their fundamental contributions to body constituents and biochemical functioning, amino acids, particularly the essential ones, may prove even more valuable in the treatment of human disease than minerals, fats or carbohydrates. Amino acids are indeed on the new frontier in medicine. Our clinical experience described in case histories rich with interesting reports of the benefits of amino acid therapy document this belief. Materia Medica Aromatic Amino Acids Aromatic hydrocarbons are so-named for their typical sweet aroma. The aromatic functional group is a sixcarbon benzene ring structure, with alternating single and double bonds, allowing the bonding electrons to freely cycle around the ring and thus absorb a broad band of energies. This provides a shielding function for the space at the center of the ring, which is a natural sanctuary for spirit minerals, the lords of the rings. The benzene ring is in itself electrically non-polar, and thus more hydrophobic than hydrophilic. Likewise, the spirit minerals have a sweet taste and an oily texture, even without their favored organic ring structure shields. 5-Hydroxy-Tryptophan (5-HTP) 5-Hydroxytryptophan is the intermediate metabolite between tryptophan and seratonin. Our 5-HTP is found in the botanical source: Griffonia simplicifolia. 5-HTP typically has 50 mg of 5-HTP per capsule. Uses: Depression Diabetes Mellitus Fibromyalgia Insomnia Migraine Headache Obesity Drug-Interactions: Antidepressant Medications Carbidopa (for Parkinson's disease): skin can become hard and thick due to inflammation MAO Inhibitors Selective Serotonin Reuptake Inhibitors (SSRIs) Sumatriptan Succinate Tramadol Venlafaxine Phenylalanine (Phe) & DL-Phenylalanine (DLPA) 312 Glen Swartwout Function: antidepressant (Phe) and pain reliever (DLPA) Phenylalanine is an essential amino acid and the precursor for the amino acid tyrosine. Like tyrosine, it is the precursor of catecholamines in the body (tyramine, dopamine, epinephrine and norepinephrine). The psychotropic drugs (mescaline, morphine, codeine, and papaverine) also have phenylalanine as a constituent. Phenylalanine is a precursor of the neurotransmitters called catecholamines, which are adrenalin-like substances. Phenylalanine is highly concentrated in the human brain and plasma. Normal metabolism of phenylalanine requires biopterin, iron, niacin, vitamin B6, copper and vitamin C. An average adult ingests 5 g of phenylalanine per day and may optimally need up to 8 g daily. Phenylalanine is highly concentrated in high protein foods, such as meat, cottage cheese and wheat germ. A new dietary source of phenylalanine is artificial sweeteners containing aspartame. Aspartame appears to be nutritious except in hot beverages; however, it should be avoided by phenylketonurics and pregnant women. Phenylketonunics, who have a genetic error of phenylalanine metabolism, have elevated serum plasma levels of phenylalanine up to 400 times normal. Mild phenylketonuria can be an unsuspected cause of hyperactivity, learning problems, and other developmental problems in children. We have found that about 10 percent of depressed patients have low plasma phenylalanine, and phenylalanine is an effective treatment in these cases. Elevated phenylalanine levels occur during infection. Phenylalanine levels are lowered by caffeine ingestion. Phenylalanine can be an effective pain reliever. Its use in premenstrual syndrome and Parkinson's may enhance the effects of acupuncture and electric transcutaneous nerve stimulation (TENS). Phenylalanine and tyrosine, like L-dopa, produce a catecholamine effect. Phenylalanine is better absorbed than tyrosine and may cause fewer headaches. Low phenylalanine diets have been prescribed for certain cancers with mixed results. Some tumors use more phenylalanine (particularly melatonin-producing tumors called melanoma). One strategy is to exclude this amino acid from the diet, i.e. , a PKU diet. The other strategy is just to increase phenylalanine's competing amino acids, i.e. , tryptophan, valine, isoleucine and leucine, but not tyrosine. Form and Absorption of Phenylalanine Phenylalanine is available as D, L or DL form; this refers to right (D = dextro) or left (L = levo) forms of spatial orientation of the molecules. DL-phenylalanine is a 50/50 (equimolar) mixture of D-phenylalanine Materia Medica and L-phenylalanine. D forms of amino acids are not normally used in humans. D-phenylalanine and Dmethionine are the only known D amino acids that can be converted to their natural L forms by the action of liver. Tryptophan (Try) Function: Sleep promoter Tryptophan is an essential amino acid, which is the precursor of serotonin. Serotonin is a brain neurotransmitter, platelet clotting factor and neurohormone found in organs throughout the body. Metabolism of tryptophan to serotonin requires nutrients such as vitamin B6, niacin and glutathione. Niacin is an important metabolite of tryptophan. High corn or other tryptophan-deficient diets can cause pellagra, which is a niacin-tryptophan deficiency disease with symptoms of dermatitis, diarrhea and dementia. Inborn errors of tryptophan metabolism exist where a tumor (carcinoid) makes excess serotonin. Hartnup's disease is a disease where tryptophan and other amino acids are not absorbed properly. Tryptophan supplements may be useful in each condition, in carcinoid replacing the over-metabolized nutrient and in Hartnup's supplementing a malabsorbed nutrient. Some disorders of excess tryptophan in the blood may contribute to mental retardation. Assessment of tryptophan deficiency is done through studying excretion of tryptophan metabolites in the urine or blood. Blood may be the most sensitive test because the amino acid tryptophan is transported in a unique way. Increased urination of tryptophan fragments correlates with increased tryptophan degradation, which occurs with oral contraception, depression, mental retardation, hypertension and anxiety states. The requirement for tryptophan and protein decreases with age. Adults' minimum daily requirement is 3 mg/kg/day or about 200 mg a day. This may be an underestimation, for there are 400 mg of tryptophan in just a cup of wheat germ. A cup of low fat cottage cheese contains 300 mg of tryptophan and chicken and turkey contain up to 600 mg per pound. Tryptophan supplements of up to 3 g a day have been used to control intractable pain in various conditions. Furthermore, tryptophan supplements decrease aggressive behavior. Abnormalities in tryptophan metabolism occur in aggressive mentally retarded patients. Increased violent crimes occur in areas where tryptophan-deficient corn is a major dietary staple. Vitamin B6 and tryptophan supplements can correct 314 Glen Swartwout some of the biochemical disorders related to aggression. Drugs which increase the opposite neurotransmitter, dopamine, i.e. Nardil or bromocriptine, can produce rage reactions, as do drugs which inhibit vitamin B6, i.e. isoniazid, which inhibits metabolism of tryptophan to niacin. Tryptophan is also a useful treatment for insomnia; significantly reducing the time needed to fall asleep. Effective doses range from 500 to 2000 mg. Disorders of REM sleep may require doses of 3 to 15 g. Suicidal patients show a significant decrease in serotonin levels. These patients, as well as agitated, depressed patients, do well with tryptophan supplements. Most antidepressants prolong the effects of serotonin by preventing reuptake of this neurotransmitter, as well as the reuptake of catecholamine; Tryptophan at night and tyrosine in the morning can probably mimic the effects of most antidepressants. Levels of the neurotransmitters are directly dependent on dietary tryptophan and other amino acids. Tryptophan has many other reported desirable effects. Appetite for carbohydrates is decreased and blood sugar is raised by tryptophan supplements. It stimulates growth hormone and prolactin, which is the basis of some of tryptophan I s therapeutic effects. Tryptophan is also beneficial in some forms of schizophrenia; it probably acts by balancing dopamine excess. In Parkinson's it inhibits tremor, and possibly also in progressive myoclonic epilepsy. Patients with kidney failure, on birth control pills, or with Down's syndrome may need more tryptophan. Chronic tryptophan supplementation (minimum 2 g daily), like supplementation with other amino acids, raises many plasma amino acids besides tryptophan itself. This is positive and exciting because many amino acids tend to decrease with age. Tyrosine (Tyr) Function: Antidepressant Tyrosine is an essential amino acid that readily passes the blood-brain barrier. Once in the brain, it is a precursor for the neurotransmitters dopamine, norepinephrine and epinephrine, better known as adrenalin. These neurotransmitters are an important part of the body's sympathetic nervous system, and their concentrations in the body and brain are directly dependent upon dietary tyrosine. Tyrosine is not found in large concentrations throughout the body, probably because it is rapidly metabolized. Folic acid, copper and vitamin C are cofactor nutrients of these reactions. Tyrosine is also the Materia Medica precursor for hormones, thyroid, catecholestrogens and the major human pigment, melanin. Tyrosine is an important amino acid in many proteins, peptides and even enkephalins, the body's natural pain reliever. Valine and other branched amino acids, and possibly tryptophan and phenylalanine may reduce tyrosine absorption. A number of genetic errors of tyrosine metabolism occur. Most common is the increased amount of tyrosine in the blood of premature infants, which is marked by decreased motor activity, lethargy and poor feeding. Infection and intellectual deficits may occur. Vitamin C supplements reverse the disease. Some adults also develop elevated tyrosine in their blood. This indicates a need for more vitamin C. Tyrosine therapy is very useful in a variety of clinical situations. An average human equivalent dose of 2 to 6 g intravenously can raise the blood pressure in hemorrhagic shock (extreme blood loss) in experimental animals. An average human dose equivalent of 500 mg of tyrosine given intravenously reduces susceptibility to life-threatening ventricular fibrillation in experimental animals. More tyrosine is needed under stress, and tyrosine supplements prevent the stress-induced depletion of norepinephrine and can cure biochemical depression. However, tyrosine may not be good for psychosis. Many antipsychotic medications apparently function by inhibiting tyrosine metabolism. L-dopa, which is directly used in Parkinson's, is made from tyrosine. Tyrosine, the nutrient, can be used as an adjunct in the treatment of Parkinson's. Peripheral metabolism of tyrosine necessitates large doses of tyrosine, however, compared to L-dopa. When combined with the drug Sinemet, tyrosine's effectiveness is increased. Yohimbine, which prolongs the effects of tyrosine products, is an aphrodisiac. Tyrosine supplements in large doses may stimulate sex drive by raising blood pressure and catecholamine levels. Tyrosine, like amphetamines, in large doses reduces appetite, but in low doses stimulates appetite. Tyrosine therapy may be useful in drug addiction; temporarily replacing codeine and amphetamines as methadone does for heroin addicts. Physicians at Harvard Medical School have pioneered the use of 1 to 6 grams of tyrosine for the effective treatment of medication-resistant depression. Many antidepressants work by prolonging the action of tyrosine metabolites. Tyrosine is safer, although the results may be less dramatic in the short term than the antidepressants. As little as 1000 to 2000 mg can be effective in humans and animals. The minimum daily 316 Glen Swartwout requirement for adults of tyrosine and its precursor, phenylalanine, is 16 mg/kg a day or about 1000 mg total. Hence, 6 g is at least six times the minimum daily requirement. Tyrosine can be used as a safe and lasting therapy, useful in a variety of clinical situations: Appetite suppression Cocaine addiction therapy (pioneered at Fair Oak hospital in New Jersey) Depression Hypertension Low sex drive Parkinson's disease Tyrosine, like the branched chain amino acids, fights all kinds of stress because it is the precursor of adrenalin, which is used up during stress. Sulfur-bearing Amino Acids Cystine & Cysteine (dipeptide) (Cys) Functions: Detoxifier and antioxidant. Cysteine is important in energy metabolism. As cystine, it is a structural component of many tissues and hormones. What makes L-cysteine so active pharmacologically is that cysteine is a precursor of the ubiquitous tripeptide glutathione (see below). Cysteine itself, in addition to the detoxifying function that results from its ability to increase glutathione levels, has clinical uses ranging from baldness to psoriasis to preventing smoker's hack. N-acetylcysteine is available in liquid or aerosol and is great for mucus-burdened bronchial passages. In some cases, oral cysteine therapy has proved excellent for treatment of asthma, enabling asthmatics to stop theophylline and other medications. Cysteine also enhances the effect of topically applied silver, tin and zinc salts in preventing dental cavities. In the future, cysteine may play a role in the treatment of cobalt toxicity, diabetes, psychosis, cancer and seizures. Materia Medica A typical dose of L-cysteine is 500 mg twice a day, often with Selenium. Measurement of plasma sulfur amino acids can guide treatment. Di-Mercapto-Succinic Acid (DMSA) DMSA (meso-2,3-dimercaptosuccinic acid) derives its name from “mercurius captans”, Latin for capturing mercury. The organic sulfur of DMSA's thiol (-SH) group binds heavy metals in soft tissues: Blood Brain Kidney Liver “With respect to redistribution of mobilized Pb to critical organs and the magnitude of decline in soft tissue Pb concentration, DMSA appears to be a safe and particularly effective chelator and thus may be a viable alternative to CaNa2EDTA” (Cory-Slechta DA, Mobilization of lead over the course of DMSA chelation therapy and long-term efficacy. J Pharmacol Exp Ther 1988 Jul; 246(1):84-91). Heavy Metal Cleansing (Phase 4) DMSA is safe and effective for children in recommended doses. DMSA “is labeled for use in children with blood lead concentrations in excess of 45 micrograms/dL." Data also shows that DMSA is effective for reducing the lead burden in children with blood levels of 25 to 45 micrograms/dL (Berlin, CM Jr, Lead poisoning in children. Curr Opin Pediatr 1997 Apr;9(2): 173-7). DMSA capsules can be taken alone or with other chelating agents for the detoxification of heavy metals including: Mercury (Hg) Lead (Pb) Cadmium (Cd) Arsenic (As) Oral chelation with DMSA is safe and effective even in adults with severe lead toxicity (Lifshitz M, et al, The effect of 2,3 dimercaptosuccinic acid in the treatment of lead poisoning in adults. Ann Med 1997 Feb; 29(1):83-5). 318 Glen Swartwout Dialkyltin compounds have been widely used in industry and agriculture, mainly as biocides, catalysts and plastic stabilizers. Toxic effects occur in the immune system, the bile duct, liver and pancreas. In a manner similar to organoarsenic, the toxicity of the dialkyltin compounds is related to reactions with biological dithiol groups. DMSA diminishes the production of bile duct, pancreas and liver lesions and inhibits the development of fibrosis of the pancreas and cirrhosis of liver in lab animals exposed to these toxic chemicals. The decrease in the biliary excretion of these compunds by DMSA seems to be the reason for the pronounced protective effects of DMSA on the bile duct, pancreas and liver. For these reasons DMSA has been recommeded for the treatment of poisonings with dibutyltin compounds (Merkord J, et al, Antidotal effects of 2,3-dimercaptopropane-1-sulfonic acid (DMPS) and meso-2,3-dimercaptosuccinic acid (DMSA) on the organotoxicity of dibutyltin dichloride (DBTC) in rats. Hum Exp Toxicol 2000 Feb; 19(2):132-7). Precautions to minimize adverse effects of DMSA administration include: Consume 4 ounces per 1/2 hour of Sango-coral water or Alkaline Microwater throughout daylight hours of the cleanse. Take smaller, less frequent doses if senstive generally. Take smaller, less frequent doses if kidneys show stress. Watch and support liver function, considering Silymarin. Take Chitosan or MicroChitosan fiber (up to 3 to 15 a day at least 3 hours away from any beneficial oils if possible) to support bowel elimination route and prevent recycling of heavy metals and other toxins. Do enemas, implants or colonic irrigation if necessary or helpful. Make sure to take extra minerals: a multiple-mineral supplement (A high potency broad-spectrum multiple vitamin-mineral, 1 or 2 capsules twice a day, or Kreb Cycle Minerals , 1 twice a day) plus Magnesium Glycinate (1 capsule twice a day) away from DMSA. Take two to four Ester-C Complex or Magnesium Ascorbate capsules three times a day. Biofield balancing remedies should be tested and adjusted at least monthly. Materia Medica Urine-Testing: 3 days: 500 mg three times a day loading dose 3rd day: 24 hours urine test for heavy metals and creatinine clearance Consider 24-hour urine test for heavy metals again at the end of the second round of the DMSA Cleansing Dosage: A 50 kg (110 lb) person may take up to 500 mg spread out through the day for up to five days (maximum: 10mg for each kilogram of the body-mass for each day) A 50 kg (110 lb) person may then take up to 1000 mg spread through the day for up to 2 weeks (maximum: 10mg/kg b. i. d. ) Give your system a rest from the DMSA for 2 weeks while continuing other remedy support Repeat DMSA cleansing cycle as tolerated and indicated by clinical, diagnostic and/or energetic tests Contraindications Avoid any intense detoxification during pregnancy and lactation. Always give your system a rest after taking DMSA for up to 3 weeks. Whenever taking DMSA, watch for any changes in urinary tract gastrointestinal and skin symptoms: Gastrointestinal symptoms Nausea or vomiting Loose stool or diarrhea Loss of appetite Metallic taste in the mouth Allergies Skin reactions Kidney pain Mid or low back pain 320 Glen Swartwout Glutathione (tripeptide) (GSH) Functions: Detoxifier and antioxidant. What makes L-cysteine and all the chemical variants of it that are used in modern medicine: N-acetylcysteine (NAC), D-penicillamine (di-methylcysteine), gamma glutamyl cystine, and cysteamine, so active pharmacologically is that cysteine is a precursor of the ubiquitous tripeptide glutathione. Glutathione is a compound synthesized from cysteine, perhaps the most important member of the body's toxic waste disposal team. Like cysteine, glutathione contains the crucial thiol (-SH) group that makes it an effective antioxidant. There are virtually no living organisms on this planet-animal or plant whose cells don't contain some glutathione. Scientists have speculated that glutathione was essential to the very development of life on earth. Glutathione has many roles; in none does it act alone. It is a coenzyme in various enzymatic reactions. The most important of these are redox reactions, in which the thiol grouping on the cysteine portion of cell membranes protects against peroxidation; and conjugation reactions, in which glutathione (especially in the liver) binds with toxic chemicals in order to detoxify them. Glutathione is also important in red and white blood cell formation and throughout the immune system. (See Selenium also) Through these basic functions, glutathione is important everyone is likely to be exposed to many of the pollutants GSH detoxifies, including lead, mercury, radiation, pesticides herbicides, fungicides, plastics, nitrates, cigarette smoke, birth control pills and other drugs. At the same time, cysteine, by its rapid conversion to GSH, protects against these toxins. Glutathione's clinical uses include the prevention of oxygen toxicity in hyperbaric oxygen therapy, treatment of lead and other heavy metal poisoning, lowering of the toxicity of chemotherapy and radiation in cancer treatments, and reversal of cataracts. In one study, oral glutathione was able to reverse advanced liver cancer in rats (Novi, 1981). Other potential uses may be in increasing the recovery chances of stroke victims, preventing or even reversing liver cirrhosis, and alleviating arthritis, psychosis and allergy. Homocysteine Function: risk factor for cardiovascular disease, much more significant than cholesterol. Materia Medica Homocystine is a natural amino acid metabolite of the essential amino acid methionine, but it occurs only transiently before being converted to the harmless cystathionine via a vitamin B6-dependent enzyme. Homocystine is the double-bonded form of homocysteine. Homocysteine metabolism is related to sulfur amino acid metabolism (methionine, taurine and cysteine) and is dependent on vitamin B12, folic acid, vitamin B6 and betaine as primary cofactors. Homocysteine metabolism is relevant to the understanding of psychosis, arteriosclerosis and the biochemical basis of all nutrient therapies. Homocysteine excess is still another metabolic cause of psychosis and mental retardation. Nutrientsvitamin B6, folic acid, betaine, cysteine and vitamin B12 can help various inborn errors of homocysteine metabolism. There is a similar form of psychosis, called pyroluria, which accounts for about 30% of psychotic patients (Pfeiffer, 1975). These patients are vitamin B6 and zinc dependent. S-adenosyl homocysteine can be a useful therapy in certain forms of psychosis. Homocysteine, which presumably accumulates as a result of insufficient vitamin B6, is identified as a chief culprit in initiating the vascular lesions leading to arteriolosclerosis. Zinc deficiency also may have a role in this process. With this knowledge, the nutrient basis of heart disease prevention is expanded beyond the simplistic theory related to cholesterol and the restricted consumption of eggs. Beyond the treatment of arteriosclerosis by reduction of cholesterol is treatment by reduction of homocystine. Homocystine excess is related to deficiency of vitamin B6 and other methyl donors as well as zinc deficiency, which has a role in the body's ability to repair cells. Marginal deficiency of vitamin B6 and zinc is widespread in this country (Pfeiffer, 1975). TMG is the most efficient methyl donor for recycling Homocysteine into SAMe, as each molecule can donate three methyl groups. Methionine (Met) Function: anti-allergy. Claims for methionine in medicine were initiated by Adelle Davis (1970), who suggested that methionine was deficient in toxemia of pregnancy, childhood rheumatic fever and hair loss. Today, we see a more defined role for methionine as a treatment for some forms of depression, schizophrenia and Parkinson's disease. Methionine is one of the essential amino acids needed by humans and higher animals; bacteria can make it from aspartic acid. Some methionine may be absorbed from the bacteria of the gut flora under starvation 322 Glen Swartwout conditions. The average human needs about 10 mg/kg of methionine and cysteine or as much as 700 mg a day of methionine. This minimal daily requirement is significantly less than the optimal need for methionine. Methionine-deficient diets in experimental animals result in impaired growth and elevated blood spermidine. Normal methionine metabolism depends on the utilization of folic acid, which can be elevated in the serum of methionine deficient patients. Some foods are rich in methionine. A cup of low-fat cottage cheese can contain up to a gram of methionine. Most cheeses contain 100 to 200 mg per ounce. Methionine supplements lower blood histamine by increasing the breakdown of histamine. It is also a useful treatment for copper poisoning and for lowering serum copper. Methionine's three major metabolic roles are as methyl and sulfur donor and a precursor to other sulfur amino acids such as cysteine and taurine. Methionine supplementation is unusual because the D, L form is probably more effective than just the L form. This is probably due to D-L salt formation. Methionine is well absorbed in the brain where it is converted into SAMe, which can increase adrenalin-like neurotransmitters in the brain. Methionine, the methyl donor, may produce active brain stimulants and degrade blood histamine. Methionine supplementation has been particularly useful in depressing the high histamine type (histadelia). It has been found to be more effective than MAO inhibitors in depression. Methionine is a useful adjunct therapy in some cases of Parkinson disease, because it can stimulate the production of dopa. Methionine may be of value in acrodermatitis enteropathica, a rare disease of zinc deficiency. Methionine, like other sulfur amino acids, protects against the effects of radiation. Methionine supplementation may help patients with heroin addiction, who often are unusually high in histamine and have a low pain threshold. Detoxification and withdrawal from barbiturates or amphetamines may also be assisted by methionine. Methionine may be useful for patients with chronic pain and is thought to lower blood cholesterol. At present, we use methionine for patients with high blood histamine, depression, high copper, high cholesterol and chronic pain, allergies and asthma. Measurement of plasma levels is useful for guiding therapy. Doses of 1 to 2 g of methionine can raise plasma methionine levels 2 to 4 times above normal. There are usually small elevations in other amino acids. We have had one case where taurine levels were raised as high as the methionine levels and other cases where taurine was not significantly elevated. Materia Medica Elevated levels of taurine, a methionine metabolite, are a hidden benefit of methionine therapy. These elevations may be the basis of methionine's therapeutic effects. N-Acetyl Cysteine (polypeptide) (NAC) Functions: maintains cellular levels of Glutathione, mucolytic, lymph drainage, breaks up lipoprotein (a) [Lp(a)], detoxifies chemicals, scavenges free radicals, and repairs tissue damage. Exercise Since NAC is a powerful antioxidant nutrient, it has been of special interest to athletes for some time as heavy exercise increases oxidative damage in the body. [13-15] Heart Disease Lipoprotein Lp(a) is one of the two most reliable indicators of heart disease risk. [16-20] The other is the level of vitamin E in the blood. [21] Lp(a) is a much more reliable indicator than blood cholesterol level, low density lipoprotein, high-density lipoprotein or their ratios to each other. Diets and drugs designed to lower blood cholesterol levels do not lower Lp(a) levels. NAC is the most effective nutrient known to lower Lp(a) levels. NAC reduces Lp(a) by almost 70%. [22-25] Lp(a) consists of a LDL particle attached to the large glycoprotein apo(a) by one or more disulfide bonds. NAC breaks up the disulfide bonds by converting each disulfide group into two sulfhydryl groups now in two separate compounds. NAC also inhibits heart damage by preventing LDL from being oxidized and by destroying free radicals produced after an infarction. [26-29] Immunity NAC affects immunity via intracellular glutathione production. This becomes critical when glutathione production pathways are impaired. Eck has shown that reduced intracellular glutathione is the "direct and early consequence of retroviral infection." [12] 324 Glen Swartwout Intracellular glutathione has a powerful influence on how well T- and B-lymphocyte cells function. [12,30] In addition, intracellular glutathione availability affects the production of phagocytes (macrophages, monocytes and neutrophils). T-cells and B-cells are lymphocytes. B-cells produce antibodies and are responsible for humoral response, while T-cells help produce antibodies, secrete interferon and other lymphokines, and are responsible for cell-mediated response. The phagocytes have the function of killing viruses, bacteria and fungi. Free radicals can impair the immune system and NAC can protect against free radicals and enhance the immune system. [31-33] NAC blocks HIV production in vitro by increasing glutathione levels in cells. [34-46] NAC is synergistic with vitamin C. Besides reducing oxidized glutathione back to free reduced (active) glutathione, vitamin C and NAC have complementary actions against replication of HIV. HIV is also an indication to take cysteine, selenium, garlic, vitamin B-12, folic acid, zinc, Dimethylglycine (DMG) and Coenzyme Q-10. [47] Detoxification NAC detoxifies toxic agents including the heavy metals mercury, lead and cadmium [48-54] , drugs including acetaminophen (e.g. Tylenol (tm)) [9, 55-61] , herbicides such as paraquat [62] , environmental pollutants such as carbon tetrachloride and urethane [63-67] , and microorganism including aflatoxin and Escherichia coli [68-70] . NAC, cysteine and glutathione contain sulfhydryl groups, which react with many toxins including lead, mercury and cadmium, which they bind in the gut. Sulfhydryl groups provide deeper defenses in the liver and within cells. Sulfhydryl groups also help remove toxins indirectly via the P-450 Enzyme System. NAC helps produce glutathione, which conjugates with most foreign compounds and excess oxidizers inside cells. Harmful compounds that are conjugated with glutathione pass harmlessly out of the body through the bile. [54] NAC prevents liver damage from acetaminophen overdose. tetrachloride, chloroform and carbon monoxide. NAC reduces toxicity from carbon [9] NAC reduces side effects of drugs including doxorubicin, ifosphamide, valproic acid and alcohol. [9, 60,61] NAC protects against cancer both as an antioxidant and detoxifier. [4, 70-76] NAC reduces toxic effects of chemotherapy agents cisplatin and oxazophosporine-based agents. [77,78] Materia Medica NAC break ups mucus in bronchopulmonary diseases including chronic bronchitis, cystic fibrosis, asthma, sinusitis and pneumonia. [79] NAC reduces viscosity of mucus [80] by converting disulfide bonds of mucoproteins into sulfhydryl bonds and cleaving mucoproteins into smaller molecules. NAC is without known toxicity up to four grams daily. [81] S-Adenosyl-Methionine (polypeptide) (SAMe) SAMe is an amino acid discovered in 1952 in Italy. It is found in every living cell and is involved in over 40 different biochemical reactions. SAMe has been used in European medicine since 1975, but it has been very expensive to produce and has only become available in America as of 1999. It is synthesized in your body from the amino acid Methionine and ATP. The reaction is catalyzed by the enzyme methionine S-adenosyltransferase (MAT). As we get older, SAMe levels tend to drop. By the time we reach adulthood, we make only one-seventh the amount of SAMe we did as children. A source of organic sulfur SAMe is a precursor for the sulfur-bearing amino acids cysteine and taurine, as well as the tripeptide glutathione. SAMe is first transformed into S-adenosylhomocysteine, which is then converted into cysteine and taurine. Every cell in the body contains sulfur compounds. The end products of the transsulphuration pathway provide important free radical scavengers and structural elements for every cell in the body. Restoring Liver Function SAMe promotes bile flow to improve digestion, absorption and elimination. SAMe protects the liver from damage by estrogen and drugs, and can even help to reverse damage that has already occured. Studies suggest it can help normalize liver function in patients with cirrhosis, hepatitis and cholestasis, a blockage of the bile ducts. SAMe is a precursor for production of gluthathione, an important antioxidant that becomes depleted in liver dysfunction, whether caused by toxicity or infection. Glutathione is important in detoxification of alcohol, drugs, pesticides and other toxins. Glutathione helps to make toxins water soluble, preparing them for excretion via the kidneys. Glutathione also prevents damage caused by inflammation throughout the body. In the eye, glutathione protects against cataracts. 326 Glen Swartwout Reversing Atherosclerosis with the best methyl donor "SAMe works as a medication to treat certain diseases,"says Paul Frankel, a biostatistician at the City of Hope National Medical Center in Duarte, California."But for most people the problem is undermethylation of homocysteine." S-Adenosyl Methionine is the most active methyl-donor in your body, meaning it donates methyl groups to other chemical compounds more readily than B6, B12, folic acid, DMG and even TMG. S-Adenosyl Methionine is then "recycled" through a re-methylation process. Methyl donor deficiency is the most common type of vitamin deficiency in our culture, contributing strongly to our national way of death through cardiovascular disease, and as we shall see, cancer. Preventing Cancer SAMe is involved in the synthesis of spermine, spermidine, and putrescine which are essential for cell growth and differentiation. Cancer is characterized by abnormal growth and a lack of differentiation of the affected cells. When the body has extra methyl groups available, they are stored as an armor-like coating on the DNA of every cell. This protects the DNA against damage by free radicals, since electrons will first be stolen from the methyl armor before any damage to the DNA can take place. Methylation helps regulate gene expression as well as a myriad of other functions, such as hormone activity, neurotransmitter development and tissue repair... Joint Relief 40 million Americans suffer chronic joint pain. More than half of them have a degenerative joint disease, osteoarthritis, which is the second leading cause of disability after heart disease. In osteoarthritis, the joint cartilage is damaged or worn, a condition affecting more women than men, and nearly everyone over the age of 75. Symptoms of osteoarthritis are: Stiffness and swelling in one or more joints Deep, aching pain in a joint (including the spine) Any pain associated with movement of a joint Tenderness, warmth or redness in afflicted joints Fever, weight loss, or fatigue that accompanies joint pain Materia Medica One out of three people with joint pain use commonly prescribed NSAIDs (nonsteroidal anti-inflammatory drugs) like aspirin and ibuprofen, with side effects that include bleeding ulcers (Cryer B, Feldman, M: Effects of very low dose, daily long-term aspirin therapy on gastric, duodenal, and rectal prostaglandin levels and on mucosal injury in healthy humans. Gastroenterology 117[1]: 17-25, July 1999) and induced deficiency of Vitamin C, an important nutrient in connective tissue repair (Adderly B, De Angelis L: The Arthritis Cure Cookbook. Washington, DC: LifeLine Press, 1998). These dangerous drugs now result in 103,000 Americans being hospitalized every year with ulcers. That’s nearly 1% per year for a drug that many people may take for 40 or 50 years. What is worse, 16,500 of these people (16%) die. Ironically, NSAIDs can ultimately worsen joint problems, since they block production of collagen and proteoglycans, the very substances needed to repair joint tissue, while speeding up the breakdown of cartilage in the joint (Newman NM, Long RSM: Acetabular bone destruction related to nonsteroidal anti-inflammatory drugs. The Lancet ii:11-13, 1985). During early research on SAMe’s mood elevating effects, subjects reported improvement in their osteoarthritis. Since then, a dozen clinical trials involving more than 22,000 patients have found SAMe as effective as drugs, such as ibuprofen, naproxen and piroxicam, for relieving pain and inflammation (Am J Med 83[5A]:60-65, Nov 1987). Clinical improvements have been shown to be more sustained with SAMe than with piroxicam and a double-blind multi-center study found better tolerance and fewer side effects with SAMe than naproxen. Even the Arthritis Foundation’s medical experts are satisfied that SAMe "provides pain relief." Unlike NSAIDs, however, SAMe does not injure the digestive tract. Animal research shows that SAMe protects the stomach lining. And instead of contributing to the breakdown of the cartilage, SAMe helps restore it. When SAMe is used up and recylcled to form glutathione, sulfate groups are released, providing building blocks for the body to make proteoglycans for joint repair. In-vitro studies confirm that SAM-e increases blood levels of proteoglycans, the initial step in cartilage regeneration. In Germany, placebo controlled research using MRI has shown measurable improvements in cartilage, which does not normally heal. SAMe increases the number of chondrocytes, the cells that make cartilage. The result is increased comfort, health and mobility. Fibromyalgia Studies on fibromyalgia have shown improvements in trigger point pain, morning stiffness, fatigue and mood. A six week study involving 47 fibromyalgia patients found significant relief at painful sites and 328 Glen Swartwout improved general well-being as well as reduced depression and anxiety, all with no adverse side effects (Tavoni A, Jeracitano G, Cirigliano G: Evaluation of S-adenosyl-methionine in secondary fibromyalgia: a double-blind study. Clinical & Experimental Rheumatology 16[1]:106-107, Jan/Feb 1998). Mood Elevation Depression is the second most common psychiatric disorder in America, after anxiety. It affects 17 million people each year in this country alone. The American Psychiatric Association’s Diagnostic Manual of Mental Disorders lists the following symptoms of serious clinical depression: Poor appetite and significant weight loss, or increased appetite and significant weight gain Insomnia, or increased sleep Agitation, or sluggishness in movement and thought Loss of interest or pleasure in usual activities, or decrease in sexual drive Fatigue and loss of energy Feelings of worthlessness, self reproach, or excessive or inappropriate guilt Diminished ability to think or concentrate, or indecisiveness Recurrent thoughts of death or suicide, or suicide attempts. Diagnosis of clinical depression depends on showing at least four of these symptoms nearly every day for 2 weeks or more. 25% of women and 12% of men are diagnosed with serious depression at some point in time. It is interesting that men tend to produce more SAMe than women. The brain of a healthy person manufactures all the S-Adenosyl Methionine (SAMe) it needs from methionine, but production is impaired in people who are depressed as well as those with Alzheimer’s. Antidepressant drugs that elevate mood, as measured by 50% increase on the Hamilton Depression Inventory, usually increase levels of SAMe. Although drugs do raise SAMe levels, treating depression with drugs is a dangerous business. Tricyclic antidepressants and MAO inhibitors can be deadly in overdose, or in combination with other medications. The side effects of Prozac, Zoloft and Paxil include headaches, diarrhea, agitation, sleeplessness and sexual dysfunction. For many, SAMe offers hope for a better, more direct solution. SAMe’s antidepressant effects have been the subject of 40 clinical trials since the ‘70’s with about 1,400 subjects. For example, in post-menopausal women, there was found to be “a significantly greater improvement in depressive symptoms in the group treated with SAMe compared to the placebo group..." Materia Medica (Psychother Psychosom 59[1]:34-40, 1993) A meta-analysis by Dr. Giorgio Bressa, psychiatrist at the University Cattolica Sacro Cuore in Rome, found "the efficacy of SAMe in treating depressive syndromes... is superior [to] that of placebo and comparable to that of standard... antidepressants." (Acta Neurol Scand Suppl 154:7-14, 1994) Columbia University psychiatrist Richard Brown, coauthor of "Stop Depression Now," has treated hundreds of patients with SAMe and says "It's the best antidepressant I've ever prescribed... I've seen only benefits." SAMe reduces symptoms in 60 to 70 percent of depressed patients. A key difference, though, is that SAMe works much faster than drugs."Patients could see significant changes by day 4, 7 and 10. It took the tricyclics two to six weeks to catch up,” he says. Controlled research with 15 patients with major depression at the West Los Angeles VA Medical Center showed that “...oral SAMe is a safe, effective antidepressant with few side effects and a rapid onset of action” (Am J Psychiatry 147[5]:591-595, May 1990). In research at the University of California, Irvine, 17 severely depressed patients took either the antidepressant desipramine or 1,600 mg/day of SAMe for four weeks. 62 percent of those taking SAMe responded compared to only 50 percent on desipramine. Researchers conclude that “...SAMe may play an important role in regulating mood” (Acta Neurol Scand Suppl 154:15-18, 1994). Research also shows that SAMe helps some antidepressant drugs to work more effectively. SAMe is necessary for manufacturing phospholipid neurotransmitters including phosphatidylcholine (PC) and phosphatidylserine (PS), which affects both mood and memory. Studies show SAMe increases levels of serotonin, norepinephrine, dopamine and phosphatidylserine. SAMe improves binding of neurotransmitters seratonin and dopamine to receptor sites, enhancing cell to cell biocommunication in the brain. SAMe's influence on phospholipid metabolism may be the principle explanation for its mood elevating effects. SAMe enhances cellular detoxification. By methylating phospholipids in the cell membrane, SAMe increases the fluidity of cell membranes. SAMe helps release old neurotransmitters and improves binding of receptor sites to fresh neurotransmitters by allowing the receptor proteins to float more freely in the cell membrane. Dr. Brown summarizes, “By and large, SAMe is faster, better and has hardly any side effects” compared to prescription anti-depressants, he says."In fact, it does a lot of good things in the body." 330 Glen Swartwout Dementia SAMe levels are also reduced in dementia. Preliminary studies show that SAMe may improve cognitive function when supplemented in cases of dementia (Drugs 48[2]:137-152, Aug 1994). Summary As summarized in Newsweek, “In dozens of European trials involving thousands of patients, it has performed as well as traditional treatments for arthritis and major depression. Research suggests it can also ease normally intractable liver conditions. SAMe doesn't seem to cause adverse effects, even at high doses. And doctors have prescribed it successfully for two decades in the 14 countries where it has been approved as a drug." Dosage Start with one 200mg tablet per day on an empty stomach. After 2 days, try 200mg twice a day. 400 mg a day is the typical dosage in studies on arthritis. If needed, increase to 400mg twice a day on the 6th day. 800 mg a day is typically adequate to optimize liver function. Only increase to 400mg three times a day after about 2 weeks, and finally, 400mg four times a day after about 3 weeks. Studies on depression have used up to 1600 mg/day. Smaller persons or people prone to stomach upset should slowly increase to find the most effective level. SAMe can decrease appetite, and rarely may cause slight stomach irritation. SAMe is not recommended in bipolar disorder, commonly known as manic depression. There are no contraindications and no known adverse interactions with any prescription medications reported in the scientific literature. Taking B Vitamin complexes, such as Star Gold and Stamina Plus will provide additional methyl donors such as B6, B12, folic acid, DMG and TMG to recylce SAMe for maximum benefits. This is the original patented tosylate form of SAMe, as developed in Italy and researched worldwide. * After it is produced naturally by yeast cells, SAMe must be transported packed in dry ice and enteric coated to ensure absorption through the small intestine, since SAM-e would be destroyed in the stomach. Among SAMe’s many functions and potential benefits: Alzheimer’s Antioxidant Materia Medica Atherosclerosis Cancer Cardiovascular disease Chronic fatigue syndrome Chronic liver disease Chronic pain Cirrhosis Dementia Depression (mild to severe) Detoxification Drug-induced liver damage Elevate mood Fibromyalgia Hepatitis Homocysteine reduction Methyl donor Migraines Neurotransmitter synthesis Osteoarthritis Parkinson's disease Protect DNA Relieve joint pain Rheumatoid arthritis Sulfur source * Note: Pharmaceutical-grade SAMe comes in two forms, the original one called tosylate and a newer form called butanedisulfonate. References The clinical potential of ademetionine (s-adenosylmethionine) in neurological disorders. Drugs 48:137-152, 1994 van Kempen GM, Janjua R and RA Roos. Altered serotonin metabolism in depressed patients with Parkinson's disease. Neurol 34:642-646. Hallas J. 332 Glen Swartwout A long-term (2 yrs) clinical trial with S-adenosylmethionine for the treatment of osteoarthritis. American Journal of Medicine 83(5A):89-94, 1987 The evaluation of S-adenosylmethionine in primary Fibromyalgia. A double blind crossover study. American Journal of Medicine 83(5A):107-110, 1987 Biomedical and Social aspects of Alcohol and Alcoholism, Amsterdam: Elsevier, 1988:357-360 Clinical Trial Supports Efficacy of our SAMe for OA of the Knee We take an active role in assuring the public that dietary supplements are safe and effective when used as recommended. We support clinical research of the efficacy of dietary supplements and we are confident that science will continue to prove the safety and effectiveness of natural dietary supplements as viable alternatives to synthetic prescription medications and their side effects. Researchers at the University of California - Irvine used our high grade SAMe (S-adenosylmethionine) for a study of its effectiveness for pain associated with osteoarthritis (OA). The study, entitled “Effectiveness of SAMe for Pain Relief in Osteoarthritis of the Knee”, compared the therapeutic efficacy of SAMe to the pharmaceutical Celebrex (a COX2 inhibitor) in adults with OA of the knee. Osteoarthritis of the knee is a major disability among the aging American population and is more common than OA in other peripheral joints. Patients report that control of the pain and improved mobility is of greatest importance to them. Many of the prescription pharmaceuticals available today for the treatment of OA are non-steroidal anti-inflammatory drugs (NSAIDS) that can have serious side effects, especially if used long term. As more people are afflicted with OA of the knee, demand will increase for new ways to relieve the pain and stiffness of OA with as few negative side effects as possible. SAMe is one of the more promising natural alternatives available. SAMe is a naturally occurring compound found in all human tissue and organs. It is produced when methionine, an essential amino acid derived from food sources, and ATP (adenosine triphosphate), the body’s primary energy molecule, are combined. Once created, SAMe is available for use by your body in over 35 different biochemical reactions necessary for optimal health. SAMe is considered a methyl donor. Its purpose is to attach a methyl group to other key elements in your body, such as DNA, to create more complex compounds. Your body then uses these new compounds for numerous purposes, including detoxification. This process, known as methylation or transmethylation, is vital to your body’s maintenance. SAMe may be the most effective of all methyl donors. Materia Medica The study was a randomized, double blind cross over trial with 61 participants (5 withdrew for various reasons) and was conducted at the Clinical Research Center at the University of California Irvine Medical Center. There was a one-week washout period to clear any anti-inflammatory medicine from the participant’s systems before they were given 600 milligrams of SAMe twice daily for eight weeks. After another one-week washout of SAMe, participants were then given 100 milligrams of Celebrex twice daily for eight weeks. Researchers concluded that, over the two-month testing period, SAMe was as effective in reducing pain as Celebrex. It was noted that at the beginning of Celebrex treatment pain was immediately reduced but gradually began to increase, whereas SAMe did not reduce pain as quickly as Celebrex but continued to show pain reduction over the two-month treatment period. Functional health, defined as improved mobility and the ability to function without pain, was observed to improve equally with both SAMe and Celebrex. Due to the success of this study, researchers are planning to conduct a larger-scale, multi-year study on SAMe funded by the National Institutes of Health (NIH). This new study would enlist a greater number of participants and would evaluate at which dosage range SAMe is most effective. Taurine (Tau) Function: antiseizure, antioxidant. Taurine is a sulfur-bearing amino acid like methionine, cystine, cysteine and homocysteine. It is a lesserknown amino acid because it is not incorporated into the structural building blocks of protein. Yet taurine is an essential amino acid in pre-term and newborn infants of humans and many other species. Adults can synthesize their own taurine, yet are probably dependent in part on dietary taurine. Taurine is abundant in the brain, heart, breast, gallbladder and kidney and has important roles in health and disease in these organs. Taurine has many diverse biological functions serving as a neurotransmitter in the brain, a stabilizer of cell membranes and a facilitator in the transport of ions such as sodium, potassium, calcium and magnesium. Taurine is highly concentrated in animal and fish protein, which are good sources of dietary taurine. It can be synthesized by the body from cysteine when vitamin B6 is present. Deficiency of taurine occurs in premature infants and neonates fed formula milk, and in various disease states. 334 Glen Swartwout Inborn errors of taurine metabolism have been described, With, low blood taurine resulting in early signs of depression, lethargy, fatigability, sleep disturbances, progressive weight loss and depth perception impairment. Later, a Parkinson's syndrome developed and progressed to coma and then death. Another inborn error of taurine metabolism has been described, with mitral valve prolapse associated with a rapidly progressive form of congestive cardiomyopathy. These patents have elevated urinary taurine levels and depressed levels of myocardial (heart muscle) taurine. There may be a subcategory of taurine- responsive mitral valve prolapse patients. Taurine, after GABA, is the second most important inhibitory neurotransmitter in the brain. Its inhibitory effect is one source of taurine's anticonvulsant and antianxiety properties. It also lowers glutamic acid in the brain, and preliminary clinical trials suggest taurine may be useful in some forms of epilepsy. Taurine in the brain is usually associated with zinc or manganese. The amino acids alanine and glutamic acid, as well as pantothenic acid, inhibit taurine metabolism while vitamins A and B6, zinc and manganese help build taurine. Cysteine and B6 are the nutrients most directly involved in taurine synthesis. Taurine levels have been found to decrease significantly in many depressed patients. One reason that the findings are not entirely clear is because taurine is often elevated in the blood of epileptics who need it. It is often difficult to distinguish compensatory changes in human biochemistry from true metabolic or deficiency disease. Low levels of taurine are found in retinitis pigmentosa. Taurine deficiency in experimental animals produces degeneration of light-sensitive cells. Taurine has potential for herapeutic applications in eye diseases, especially of the retina. Taurine has many important metabolic roles. Supplements can stimulate prolactin and insulin release. The parathyroid gland makes a peptide hormone called glutataurine (glutamic acid-taurine), which further demonstrates taurine's role in endocrinology. Taurine increases bilirubin and cholesterol excretion in bile, critical to normal gallbladder function. It seems to inhibit the effect of morphine and potentiate the effects of opiate antagonists. Low plasma taurine levels have been found in a variety of conditions, i.e. , depression, hypertension, hypothyroidism, gout, institutionalized patients, infertility, obesity, kidney failure and others. Megataurine therapy has been proven to be useful in many patient groups, i.e. , those with post myocardial infarction, congestive heart failure, elevated cholesterol or preventricular arrhythmias. Dying heart muscle Materia Medica quickly becomes depleted of taurine. Taurine may prove to be useful in patients with epilepsy, gallstones, mitral valve prolapse, hypertension, hyperbilirubinemia, retinitis pigmentosa, photosensitivity and diabetes. Effective supplements range from 500 mg to 5 g orally. Therapy can be guided by plasma amino acid determination. Taurine is usually well absorbed, and taurine levels can increase to five times normal during therapy without ill effects. Urea-Cycle Arginine (Arg) Function: lowers cholesterol. L-arginine is a basic amino acid involved primarily in urea or ammonia buildup and excretion, as well as DNA, polyamine and creatine synthesis. Arginine is an essential nutrient in cats, rats and other mammals. In man, arginine is essential only under certain conditions. Conditional deficiency of arginine occurs in the presence of excess ammonia, excess lysine, amino acid imbalances, rapid growth, pregnancy, trauma, protein deficiency or enzyme deficiency. As much as 20 g of arginine can be used to treat several inborn errors of urea cycle enzymes. Arginine deficiency is associated with rash, hair loss and breakage, poor wound healing, constipation, fatty liver, hepatic cirrhosis and hepatic coma. Arginine supplementation is marked by many endocrine effects. Arginine in high doses given intravenously--20 to 35 g---releases growth hormone, glucagon and insulin. Doses as low as 1 g have been claimed to increase growth hormone quite significantly, although our studies have been unable to document this claim. Large doses of arginine given to rats increase collagen deposition, promote wound healing and positive nitrogen balance. Even larger levels in rats' diet, 1 percent or more, protect the rats against thymus involution and provide anticancer effects. We have found that large doses of arginine can lower polyamines, which are elevated in various cancers. Arginine, like ornithine and aspartic acid, has a positive effect on viability of sperm and may have a role in the treatment of male infertility. Metabolic arginine deficiency can be measured in blood, cerebrospinal fluid or by orotic acid excretion in urine. Several of our cancer patients have shown decreased arginine in blood and have been treated with amino acid supplements. We have characterized patients with low plasma arginine as being primarily women of small structure who have reduced protein mass, with a history of chronic disease or prolonged hospitalization. Many of these patients have multiple amino acids deficiencies and respond to multiple 336 Glen Swartwout amino acid formulas. Arginine excess occurs in several inborn errors of metabolism and may be useful in treating cancer. Doses greater than 40 g daily of arginine can result in dangerous hyperkalemia (high serum K) and hyperphosphatemia (high serum phosphorus) in patients with liver or kidney disease. Arginine, like methionine, taurine and glycine, lowers cholesterol. We have found arginine loading doses of 6 g to reduce cholesterol by as much as 10 percent. The cholesterol lowering effect is enhanced by diets high in arginine and low in lysine, probably cereals as opposed to meat protein. Arginine supplements may be of value in many disease conditions. As part of the body's health maintenance system, this amino acid is just beginning to be understood. Pycnogenol is reported to be synergistic with Arginine, providing full therapeutic effects with dosages of about 1.5 g per day, helping to avoid potential issues with Arginine supplementation, including triggering of Herpes outbreaks. Citrulline (Cit) Function: lowers cholesterol, raises erectile function. L-Citrulline is a precursor of L-Arginine, and supplementation appears to avoid some of the issues with therapeutic dosages of Arginine, while still effectively increasing nitric oxide levels important in circulatory regulation. This is supportive of the body's physiological pathways, unlike Viagra, Cialis and Levitra, which block the body's enzyme that breaks down nitric oxide. In men with endothelial dysfunction, the cells lining the blood vessels may not make enough nitric oxide for the medications to improve symptoms, while Citrulline can still help support increased nitric oxide production. Therapeutic dosages of Citrulline may be obtainable by eating watermelon, although levels vary. Ornithine (Orn) Function: growth promotion. L-Ornithine is a precursor of citrulline and arginine and when given orally, has very similar biological effects. It is a naturally occurring amino acid and is different from arginine in that it is not found incorporated into body proteins. Almost all recommendations given for therapeutic uses of arginine probably apply also to Ornithine. Materia Medica Orally supplemented Ornithine can be converted by the body into arginine, glutamine or proline. Arginine is its primary end product and supplemental arginine is immediately converted back to Ornithine. Ornithine can also be converted into polyamines. Lysine, an antagonist of arginine, also prevents uptake of Ornithine. Ornithine may enter the mitochondria more readily than arginine, so it is possible that L-Ornithine may be a better arginine supplement than arginine itself. L-Ornithine as 3000 mg tablets A.M. and P.M. is part of a recently formulated growth hormone-releasing supplement. We think that this dose may be too low to have a significant result. L-Ornithine, 500 mg, is readily available. No toxicity has been reported. We have found doses as low as 1 g to cause insomnia in some individuals. Yet, in general, Ornithine supplementation is well tolerated, up to several grams daily and probably higher doses. The effect of mega Ornithine therapy, 10 g daily, for prolonged periods has not been investigated. Arginine is an Ornithine agonist, while lysine inhibits Ornithine metabolism. Ornithine supplements, like arginine may be useful in a variety of diseases. Ornithine releases growth hormone and may be of value for growth-impaired children and athletes in training. Glutamine (Glu) & Glutamate Glutamine can reduce toxic effects of chemotherapy such as Taxol, radiochemotherapy of the esophagus, and speeds recovery after bone marrow transplants and bowel surgeries. It helps recovery from other traumatic injuries, and prevents infection in the critically ill. It can help stomach ulcers, ulcerative colitis and Crohn’s disease. It can improve depression, mood, irritability, anxiety, insomnia, and exercise performance. It can help maintain weight in HIV. Glutamine also helps ADHD, cystinuria, sickle cell anemia, and alcohol withdrawal. Excess Glutamate such as MSG is avoided in neurodegenerative conditions where excitotoxins build up in the nerve cells. Asparagine (Asp) & Aspartic Acid (Asp) Function: Important metabolic pathways. 338 Glen Swartwout Aspartic acid is a nonessential amino acid, which is made from glutamic acid by enzymes using vitamin B6. The amino acid has important roles in the urea cycle and DNA metabolism. Aspartic acid is a major excitatory neurotransmitter, which is sometimes found to be increased in epileptic and stroke patients. It is decreased in depressed patients and in patients with brain atrophy. Aspartic acid supplements are being evaluated. Five grams can raise blood levels. Magnesium and zinc may be natural inhibitors of some of the actions of aspartic acid. Aspartic acid, with the amino acid phenylalanine, is a part of the artificial sweetener, aspartame. This sweetener is not safe for phenylketonurics. The jury is still out on the long-term effects it has on many brain neurohormones. In liquids, it can break down into methanol at room temperature. Many liver and vision symptoms are caused by drinking diet soda. Aspartic acid may be a significant immunostimulant of the thymus and can protect against some of the damaging effects of radiation. Many claims have been made for the special value of administering aspartic acid in the form of potassium and magnesium salts. Since aspartic acid is relatively nontoxic, studies are now in progress to elucidate its pharmacological and therapeutic roles. GABA (GABA), Glutamic Acid (GA) & Glutamine (GAM) Function: neurotransmitters. Glutamic Acid (GA) is a nonessential amino acid which can normally be synthesized in the body from many substances, i.e. , alpha ketoglutarate, ornithine, arginine, proline, or Glutamine (GAM). GA is used to make proteins, peptides (glutathione), amino acids (proline, histidine, GAM, and GABA) and DNA. GA, GABA (gamma-aminobutyric acid) and GAM are all neurotransmitters in the brain. GA is excitatory and GABA inhibitory. GAM is primarily a brain fuel. Vitamin B6 and manganese increase the amount of GABA made from GA. Aspartic acid is an excitatory neurotransmitter that is competitively transported with GA, whereas taurine and glycine are inhibitory neurotransmitters that are competitively transported with GABA. GA and GAM are extremely abundant amino acids. GA is the second most concentrated in the brain and GAM is not far behind. GAM is the most abundant amino acid in blood. GA is the most abundant in food; about 7 grams are contained in a cup of cottage cheese and as much as 13 grams in a pound of pork. Initial studies with GA using 10 to 12 g in mentally retarded individuals were found to raise IQ. Doses of GABA 1 to 3 g orally also have been used effectively to raise IQ of mentally retarded persons. Materia Medica Initial studies in alcoholics using a daily dose of 10 to 15 g of L-GAM were effective in controlling this addiction. GAM is a major fuel for the brain, but also for lymphocytic cancer cells. An enzyme which destroys GAM is useful in acute leukemia and other cancers, Some effects of the excessive breakdown of GAM are infertility, depression, abdominal cramps, headache, weight loss, anorexia, increased blood ammonia and, rarely, a Parkinson's syndrome. Other deficiencies of the glutamate family of neurotransmitters relate to the metabolism of glutathione. GA given as MSG can produce a seizure-like disorder in infants. In contrast, various drugs that inhibit GA, aspartic acid and metabolites are effective anticonvulsants. GABA is found to be deficient in cerebrospinal fluid and brain in many studies of experimental and human epilepsy. Benzodiazepines (such as Valium) are useful in status epilepticus because they act on GABA receptors. GABA increases in the brain after administration of many seizure medications. Hence, GABA is clearly an antiepileptic nutrient, while the data is mixed regarding GA. Inhibitors of GAM metabolism can also produce convulsions. Spasticity and involuntary movement syndromes, e.g. , Parkinson's, Friedreich's ataxia, tardive dyskinesia, and Huntington's chorea are all marked by low GABA when amino acid levels are studied. Trials of 2 to 3 g of GABA given orally have been effective in various epilepsy and spasticity syndromes. Agents that elevate GABA also are useful in lowering hypertension. Three grams orally have been effective in control of blood pressure. GABA is decreased and GA is increased in various encephalopathies. GABA can reduce appetite and is decreased in hypoglycemia. GABA reduces blood sugar in diabetis. Chronic brain syndromes can also be marked by deficiency of GABA, as well as of GA and GAM. GABA has many promising uses in therapy. There may be therapeutic uses of GA and GAM, but GABA has the most therapeutic potential of the three. GABA levels are difficult to detect in plasma and urine, while GAM and GA are easily measured. GABA therapy should be considered when GA is elevated and GAM is deficient. Cerebrospinal fluid levels of GABA may be useful in diagnosing very serious diseases. Vitamin B6, manganese, taurine and lysine can increase both GABA synthesis and effects, while aspartic acid and GA probably inhibit GABA effects. Proline (Pro) & Hydroxyproline (Hyd) Function: Collagen components. 340 Glen Swartwout Proline and hydroxyproline are nonessential amino acids that are concentrated throughout the body, except in cerebrospinal fluid. Collagen is an important structural protein, and the major reservoir of these amino acids. Proline can be synthesized in the body from either ornithine or glutamic acid; it can be broken down into ornithine and thereby reduce the body's requirements for ornithine and arginine. Excess proline due to genetic errors can lead to convulsions, elevated blood calcium and osteoporosis. Dietary restriction is a useful treatment, probably because the body depends on dietary proline to meet some of its proline needs. Therefore proline deficiency probably can occur under some conditions. For example, one patient with Parkinson's was found to have low blood levels of proline. Elevated proline levels can occur in alcoholics with cirrhosis and probably in depression and seizure disorders. We have observed elevated hydroxyproline levels in cases of psychotic depression. These patients also may require extra vitamin C. Proline is modified in smokers and becomes a carcinogen. Drugs which inhibit proline metabolism have anticancer properties. Low proline diets may be useful in some forms of cancer treatment. Proline also may be of value in wound healing. Proline peptides are involved in important neurological proteins. Knowledge of proline supplementation is limited. Proline is concentrated in high protein foods like meat, cottage cheese and wheat germ. There is more proline in dairy protein than in meat protein, whereas for most other amino acids, the reverse is true. Alanine (Ala) Function: helps hypoglycemia. Alanine is a nonessential amino acid made in the body from the conversion of the carbohydrate pyruvate or the breakdown of DNA and the dipeptides carnosine and anserine. It is highly concentrated in muscle and is one of the most important amino acids released by muscle, functioning as a major energy source. Plasma alanine is often decreased when the BCAA (Branched Chain Amino Acids) are deficient. This finding may relate to muscle metabolism. Alanine is highly concentrated in meat products and other high-protein foods like wheat germ and cottage cheese. Materia Medica Normal alanine metabolism, like that of other amino acids, is highly dependent upon enzymes that contain vitamin B6. Alanine, like GABA, taurine and glycine, is an inhibitory neurotransmitter in the brain. These inhibitory agents may be a useful therapy for some epileptics. Alanine is an important participant as well as regulator in glucose metabolism. Alanine levels parallel blood sugar levels in both diabetes and hypoglycemia, and alanine reduces both severe hypoglycemia and the ketosis of diabetes. It is an important amino acid for lymphocyte reproduction and immunity. Alanine therapy has helped dissolve kidney stones in experimental animals. Dimethylglycine (DMG) Dimethylglycine (DMG) is an intermediate in the metabolism of choline and glycine. DMG's effects are mostly attributed to its conversion to glycine. DMG oxygenates, is antioxidant, relieves muscle spasms, may help control epilepsy and acts as an immunostimulant. Trimethylglycine (TMG) is an even more effective methyl donor than DMG, having 3 methyl groups to donate. It increases SAMe levels. Glycine (Gly) Function: wound healing, sedative. Glycine is the simplest nonessential amino acid. It is called glycine because it resembles the sweet taste of glucose (blood sugar) and glycogen (liver starch). Glycine is a simple, nonessential amino acid, although experimental animals show reduced growth on lowglycine diets. The average adult ingests 3 to 5 grams of glycine daily. Glycine is involved in the body's production of DNA, phospholipids and collagen, and in release of energy. Glycine levels are effectively measured in plasma in both normal patients and those with inborn errors of glycine metabolism. Glycine is probably the third major inhibitory neurotransmitter of the brain; glycine therapy readily passes the bloodbrain barrier. Reports of possible therapeutic uses are varied. Glycine is probably effective in calming the manic episodes of manic depression, and in the treatment of spasticity and epilepsy, because of its sedative properties. Depressed and epileptic patients often have low glycine levels. 342 Glen Swartwout Gout, myasthenia, muscular dystrophy, benign prostate hypertrophy and high cholesterol may respond to glycine therapy. The data supporting these claims are optimistic but not well documented. Glycine releases growth hormone when given in high doses. Glycine is a very nontoxic amino acid. Even 30 grams of glycine produces zero side effects. Some manicdepressive patients have benefited from glycine. Threonine is often used as an alternative source of glycine therapy. Serine (Ser) Function: Potentiator of madness. Serine is a nonessential amino acid derived from glycine. Like all the amino acid building blocks of protein and peptides, serine can become essential under certain conditions, and is thus important in maintaining health and preventing disease. Low-average concentration of serine compared to other amino acids is found in muscle. Serine is highly concentrated in all cell membranes. A high serine to cysteine plasma ratio is a potential clinical marker for psychosis which corresponds to pyroluria as a marker for vitamin B 6and zinc-dependent psychosis. Many poor-quality foods, such as luncheon meats and sausage, are high in serine. Foods which cause cerebral allergy, e.g. , gluten, soy and peanuts, are also high in serine. Serine supplements may cause such adverse effects as psychotic episodes and possibly elevated blood pressure. Low serine levels can occur in hypertensive patients, and high serine levels can occur in allergy patients. Applications of this knowledge to treatment are under way. Serine is also immunosuppressive, which makes it a harmful agent in cancer patients but potentially useful in autoimmune diseases. A serine analog (threo-serine) and L-serine as well, may raise blood pressure. A role for serine may develop in pain relief, but at present serine supplementation has no proper therapeutic purpose. The Princeton Brain Bio Center finds a high serine to cysteine plasma ratio as a potential clinical marker for psychosis, which corresponds to pyroluria as a marker for vitamin B 6and zinc-dependent psychosis. Many poor-quality foods, such as luncheon meats and sausage, are high in serine. Foods which cause cerebral Materia Medica allergy, e.g. , gluten, soy and peanuts, are also high in serine. Serine supplements may cause such adverse effects as psychotic episodes and possibly elevated blood pressure. D-serine should be tested as an antipsychotic agent. Threonine (Thr) Function: immunity and Central Nervous System Threonine is an essential amino acid in humans. It is abundant in human plasma, particularly in newborns. Severe deficiency of threonine causes neurologic dysfunction and lameness in experimental animals. Low levels of threonine and glycine are often found in depression. Good response is seen with 1 gram of threonine in the A.M. and P.M. Plasma levels of threonine are useful for monitoring treatment. Threonine is an immunostimulant, which promotes the growth of thymus gland. It also can probably promote cell immune defense function. 7.5 grams of threonine daily decreased spastcity in MS patients in one study. This amino acid has been useful in the treatment of genetic spasticity disorders and multiple sclerosis at a dose of 1 gram daily. A typical starting therapeutic dosage of Threonine is 500 mg daily. Threonine transports Magnesium across the blood-brain barrier as Magnesium Threonate. It can help reduce stress, irritability, anxiety, confusion and depression as well as mental illness. It is recommended with nervous system issues such as convulsions, spinal spasticity, multiple sclerosis, familial spastic paraparesis, and amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease). Threonine can also help reduce indigestion and fatty liver. Threonine is essential in the production of collagen, elastin, dental enamel and antibodies. It helps modulate protein in the body, preventing both deficiency and excess. It is important for the cardiovascular system as well as the skin, liver, nerves and immune system. It also helps stabilize blood sugar, including in diabetes. Neuro-Mag is a supplement drink powder for Magnesium Threonate. Threonate is also present in Ester C, and is a metabolite of Vitamin C. Threonine may increase glycine levels. It is highly concentrated in meat products, cottage cheese and wheat germ. 344 Glen Swartwout Trimethyglycine (TMG) Function: best methyl-donor Methylation is a natural process of transfer of methyl groups (-CH3) between different compounds. This can serve to activate, recycle, detoxify and/or protect the affected molecules. Research shows that decreased methylation is involved in many health conditions, including diseases of the cardiovascular system, brain and liver, as well as cancer. Methylation is a key biochemical step ocurring a billion times a second. A coating of methyl groups on DNA protects against aging, oxidation and genetic damage, as well as expression of disease related genes. Trimethylglycine (TMG) is an excellent source of methyl groups and is found in good quantities in broccoli and beets. TMG (Trimethyl glycine) is also known as anhydrous betaine, glycine betaine, or oxyneurine. It is a white crystalline powder with a naturally sweet taste and it disolves readily under the tongue for sublingual absorption, or for those who prefer, in water or other drinks. TMG is sometimes confused with betaine hydrochloride, which is also found in nutritional products, but as a stomach acidifier. Cardiovascular Health The focus on dietary cholesterol has thrown many people off the track. Dietary cholesterol is not the main source of blood cholesterol. And blood cholesterol is not the main risk factor for cardiovascular disease. Animals fed normal diets with the addition of high amounts of cholesterol do not develop atherosclerosis. A much higher risk factor is elevated homocysteine (HCY) levels. In the Physicians(1) Health Study, doctors with high homocysteine levels were found to have 3 to 4 times higher risk for heart attack compared to those with lower levels. Four major modifiable factors affect homocysteine levels: The rate of conversion of homocysteine to methionine via methylation; The rate of homocysteine conversion to cystathionine and cysteine via transsulfuration; The amount of homocysteine excreted into the plasma by cells; The level of methionine in the diet. TMG is one of the most powerful methylating agents known and has been shown to lower homocysteine levels when nothing else would. Materia Medica Cancer Prevention Methylation regulates the expression of genes by coating the DNA, selectively turning some genes on and others off. Young people typically start out with enough methyl groups to regulate genetic activity, but these are lost during mitosis (cell division) due to dietary deficiency. The result is expression of oncogenes, which leads to cancer. Optimum methylation of the DNA prevents cancer by inhibiting oncogenes. Dietary intake of high levels of methyl donors is linked to low cancer rates, and animal studies show that methyl donor supplementation prevents cancer in . Aging Reversal DNA methylation also helps explain the mechanisms of aging. DNA expression determines the building blocks and functions of all cells. With aging-related loss of DNA methylation, genetic expression changes. Methylation is a process of biochemical reduction (addition of electrons), the opposite of oxidation (loss of electrons). TMG is a potent antioxidant as well as a methyl donor, so it feeds both sides of the age-reversal equation. TMG also helps oxygenation at the cellular level, which further reduces aging related oxidation of the cell structures such as DNA and cell membrane. Oxygen is needed as a receptor for spent electrons from mitochondrial respiration, to prevent backup of electrons in the electron transport chain leading to leakage of high energy electrons (free radicals). By reversing atherosclerosis, TMG also provides enhanced circulation and tissue oxygenation over time with supplementation. Mood Elevation and Liver Health Methylation increases production of S-adenosyl-methionine, or SAMe. SAMe is an excellent antidepressant without the side effects of trycyclics. SAMe is very useful in liver disease and in osteoarthritis it has been shown to stimulate cartilage regeneration. TMG is an excellent way to elevate bodily SAMe synthesis, and should always be taken by those supplementing SAMe according to the Remission Foundation. When SAMe is spent, it loses a methyl group to become homocysteine. TMG recycles the homocysteine back into SAMe, so with enough TMG in the system, the same SAMe molecule can be used over and over, never staying in the toxic homocysteine form for long enough to damage the vascular system. 346 Glen Swartwout Branch-Chain Amino-Acids (BCAA) Isoleucine (Iso) Leucine (Leu) Valine (Val) Function: Stress Branched chain amino acids (B.C.A.A.) are essential amino acids whose carbon structure is marked by a branch point. The BCAAs are valine, isoleucine and leucine. These three amino acids are critical to human life and are particularly involved in stress, energy and muscle metabolism. BCAA supplementation as therapy, both oral and intravenous, in human health and disease holds great promise. BCAA includes valine, isoleucine and leucine which are branched chain essential amino acids. Despite structural similarities, branch-chain aminos have different metabolic routes, with valine going solely to carbohydrates, leucine solely to fats and isoleucine to both. These amino acids also have different deficiency symptoms. Valine deficiency is marked by neurological defects in the brain, while isoleucine deficiency is marked by muscle tremors. BCAA Requirements, Metabolism, and Deficiency Effects: Valine is required at 12 mg/kg for carbohydrate metabolism to avoid neurological defects. Leucine is required at 14 mg/kg for fat metabolism. Isoleucine is required at 16 mg/kg for fat & carbohydrate metabolism to avoid muscle tremors. Many types of inborn errors of BCAA metabolism exist, and are marked by various abnormalities. The most common form is the maple syrup urine disease, marked by a characteristic urinary odor. Other abnormalities are associated with a wide range of symptoms, such as mental retardation, ataxia, hypoglycemia, spinal muscle atrophy, rash, vomiting and excessive muscle movement. Most forms of BCAA metabolism errors are corrected by dietary restriction of BCAA and at least one form is correctable by supplementation with 10 mg of biotin daily. BCAA are useful because they are metabolized primarily by muscle. Stress state -- e.g. , surgery, trauma, cirrhosis, infections, fever and starvation--require proportionately more BCAA than other amino acids and Materia Medica probably proportionately more leucine than either valine or isoleucine. BCAA and other amino acids are frequently fed intravenously (TPN) to malnourished surgical patients and in some cases of severe trauma. BCAA, particularly leucine, stimulate protein synthesis, increase reutilization of amino acids in many organs and reduce protein breakdown. Furthermore, leucine can be an important source of calories, and is superior as fuel to the ubiquitous intravenous glucose (dextrose). Leucine also stimulates insulin release, which in turn stimulates protein synthesis and inhibits protein breakdown. These effects are particularly useful in athletic training. BCAA should also replace the use of steroids as commonly used by weightlifters. Huntington's chorea and anorexic disorders both are characterized by low serum BCAA. These diseases, as well as forms of Parkinson's, may respond to BCAA therapy. BCAA, and particularly leucine, are among the amino acids most essential for muscle health. BCAA are decreased in patients with liver disease, such as hepatitis, hepatic coma, cirrhosis, extrahepatic biliary atresia or portacaval shunt; aromatic amino acids (AAA)-tyrosine, tryptophan and phenylalanine, as well as methionine-are increased in these conditions. Valine, in particular, has been established as a useful supplemental therapy to the ailing liver. All the BCAA probably compete with AAA for absorption into the brain. Supplemental BCAA with vitamin B6 and zinc help normalize the BCAA:AAA ratio. The BCAA are not without side effects. Leucine alone, for example, exacerbates pellagra and can cause psychosis in pellagra patients by increasing excretion of niacin in the urine. Leucine may lower brain serotonin and dopamine. A dose of 3 g of isoleucine added to the niacin regime has cleared leucineaggravated psychosis in schizophrenic patients. Isoleucine may have potential as an antipsychotic treatment. Leucine is more highly concentrated in foods than other amino acids. A cup of milk contains 800 mg of leucine and only 500 mg of isoleucine and valine. A cup of wheat germ has about 1. 6 g of leucine and 1 g of isoleucine and valine. The ratio evens out in eggs and cheese. One egg and an ounce of most cheeses each contain about 400 mg of leucine and 400 mg of valine and isoleucine. The ratio of leucine to other BCAA is greatest in pork, where leucine is 7 to 8 g and the other BCAA together are only 3 to 4 g. In serum, BCAA, particularly leucine, are great producers of energy under many kinds of severe stress, such as trauma, surgery, liver failure, infection, fever, starvation, muscle training and weight lifting. BCAA supplements, while now used only preoperatively for malnourished patients, should be used in all stress situations. For example, BCAA may replace aspirin therapy for fever. 348 Glen Swartwout BCAA therapies have great potential in the medicine of the future which seeks better health by imitating natural mechanisms of the body. Amino acids with Important Metabolites Acetyl L-Carnitine (ALC) A major cause of aging is the deterioration of the energy-producing components of the cell which results in reduced cellular metabolic activity, the accumulation of cellular debris, and eventual death of the cell. The amino acid L-carnitine helps to maintain cellular energy metabolism by assisting in the transport of fat through the cell membrane and into the mitochondria within the cell, where these fats are oxidized to produce the cellular energy ATP. This action may be synergistic with Coenzyme Q-10. ALC is also synergistic with Alpha Lipoic Acid. Acetyl L-carnitine (ALC) is contains the amino acid L-carnitine and has similar functions, such as metabolism of food into energy. Acetyl L-carnitine (ALC) is the acetyl ester of the amino acid L-carnitine. ALC is absorbed into the bloodstream more efficiently than L-carnitine. It passes more easily through cell membranes, and is utilized more efficiently in the mitochondria of the cell. Published medical studies show ALC may provide neurological benefits, promoting a healthy nervous system and memory. Benefits: ALC facilitates both the release and synthesis of Acetylcholine. ALC's ability to increase the synthesis of Acetylcholine occurs as a result of it donating its Acetyl group towards the production of Acetylcholine. ALC increases the Brain's levels of Choline Acetylase (which in turn facilities the production of Acetylcholine). ALC enhances the release of Dopamine from Dopaminergic Neurons and improves the binding of Dopamine to Dopamine Receptors. Materia Medica ALC improves the reaction times of persons afflicted with Cerebral Insufficiency. ALC (2-4 grams per day) improves walking distance without Pain in persons afflicted with Intermittent Claudication. ALC prevents the age-related impairment of Eyesight (by protecting the Neurons of the Optic Nerve and the Occipital Cortex of the Brain. ALC enhances the ability of Macrophages to function as Phagocytes. ALC given prior to exercise increased the maximum running speed of animals. ALC enhances the function of Cytochrome Oxidase (an essential enzyme of the Electron Transport System (ETS). ALC improves the Energy metabolism of Neurons (by enhancing the transport of Medium-Chain Saturated Fatty Acids and Short-Chain Saturated Fatty Acids across the Cell Membranes of Neurons into the Mitochondria). ALC inhibits the damage caused by Hypoxia. ALC transports Lipids into the Mitochondria of Cells. ALC improves Memory in persons afflicted with Age Associated Memory Impairment. ALC improves Mental Function where Alcohol induced cognitive Impairment exists. Acetyl-L-Carnitine inhibits the deterioration in Mental Function associated with Alzheimer’s Disease and slows the progression of Alzheimer’s Disease [persons afflicted with Alzheimer’s Disease exhibited significantly less deterioration in Mental Function following the administration of supplemental ALC for 12 months. This finding was verified by using nuclear magnetic resonance on the subjects]. ALC increases Alertness in persons afflicted with Alzheimer's Disease - 2,500-3,000 mg per day for 3 months]. ALC inhibits the toxicity of Amyloid-Beta Protein (ABP) to Neurons. ALC improves Attention Span in persons afflicted with Alzheimer's Disease. 350 Glen Swartwout ALC improves Short Term Memory in persons afflicted with Alzheimer's Disease. High concentrations of ALC are naturally present in various regions of the Brain. ALC reverses the age-related decline that occurs in Cholinergic Receptors (i.e. the Receptors that receive Acetylcholine). ALC improves (eye to hand) Coordination [supplemental ALC @ 1. 5 grams per day for 30 days improved eye to hand coordination in healthy, sedentary subjects by a factor of 300-400%]. ALC improves the Interhemispheric Flow of Information across the Corpus Callosum of the Brain. ALC retards the decline in the number of Dopamine Receptors that occurs in tandem with the Aging Process and (more rapidly) with the onset of Parkinson's Disease. ALC enhances the release of Dopamine from Dopaminergic Neurons and improves the binding of Dopamine to Dopamine Receptors. ALC can prevent the destruction of Dopamine Receptors by MPTP (a neurotoxin capable of causing Parkinson's Disease via Dopaminergic Receptor death. ALC improves Attention Span and Memory in persons afflicted with Down’s Syndrome. ALC retards the inevitable decline in the number of Glucocorticoid Receptors that occurs in tandem with the Aging Process. ALC enhances the recovery of persons afflicted with Hemiplegia (Paralysis of one side of the body) and improves their Mood and Attention Span. ALC retards the age-related deterioration of the Hippocampus [research - rats]. Acetyl-L-Carnitine (ALC) improves Learning ability [women aged 22 - 27 were supplemented with ALC for 30 days. Complex video game tests before and after supplementation concluded that supplemental ALC caused large increases in speed of Learning, speed of reaction and reduction in errors]. ALC improves both Short-Term Memory and Long-Term Memory. ALC improves Mood [ALC improves Mood in 53% of healthy subjects]. Materia Medica ALC inhibits (and possibly reverses) the degeneration of Myelin Sheaths that occurs in tandem with the progression of the Aging Process [scientific research - hyperglycemic mice treated with ALC for 16 weeks exhibited improved nerve conduction velocity and exhibited thicker Myelin Sheaths and larger myelinated Nerve Fibers]. ALC retards the inevitable decline in the number of Nerve Growth Factor (NGF) Receptors that occurs in tandem with the Aging Process. ALC stimulates and maintains the growth of new Neurons within the Brain (both independently of Nerve Growth Factor (NGF) and as a result of preserving NGF) and helps to prevent the death of existing Neurons [ALC inhibits Neuron death in the Striatal Cortex, Prefrontal Cortex and the Occipital Cortex of the Brain]. ALC inhibits the degeneration of Neurons that is implicit in Neuropathy. ALC rejuvenates and increases the number of N-Methyl-D-Aspartate Receptors (NMDA Receptors) in the Brain [even a single dose of ALC increases the number of functional NMDA Receptors]: ALC protects the NMDA Receptors in the Brain from the natural decline that occurs in tandem with the Aging Process [research - animals]. ALC is presently being researched as a treatment for Parkinson's Disease. ALC inhibits the loss of Vision, degeneration of Neurons and damage to the Retina associated with Retinopathy (including Diabetic Retinopathy). ALC improves the quality of Sleep and reduces the quantity of Sleep required. ALC improves the function of (reduces the over-excitability of) Motor Nerves in persons afflicted with Spasticity. ALC improves Spatial Memory (an aspect of Short Term Memory that involves remembering one’s position in space). ALC inhibits the excessive release of Cortisol in response to Stress and inhibits the depletion of Luteinising Hormone Releasing Hormone (LHRH) and Testosterone that occurs as a result of excessive Stress. ALC improves Verbal Fluency. 352 Glen Swartwout ALC enhances the function of Cytochrome Oxidase (also called Complex IV) - an essential enzyme of the Electron Transport System. ALC normalizes Beta-Endorphin levels. ALC reduces Stress-induced Cortisol release [research - animals]. ALC prevents the depletion of Luteinising Hormone Releasing Hormone (LHRH) caused by exposure to excessive Stress. ALC retards the decline in the production of Nerve Growth Factor (NGF) that occurs in tandem with the Aging Process. ALC increases plasma Testosterone levels (via its influence on Acetylcholine neurotransmission in the Striatal Cortex of the Brain) and prevents the depletion of Testosterone caused by exposure to excessive Stress [research - rats]. References: De Falco, F.A. , et al. Effect of the chronic treatment with L-acetylcarnitine in Down’s syndrome. Clin Ther. 144:123-127, 1994. Bowman, B. Acetyl-carnitine and Alzheimer’s disease. Nutr Rev. 50:142-144, 1992. Bruno, G., et al. Acetyl-L-carnitine in Alzheimer disease: a short-term study on CSF neurotransmitters and neuropeptides. Alzheimer Dis Assoc Disord (USA). 9(3):128-131, 1995. Calvani, M., et al. Action of acetyl L-carnitine in neurodegeneration and Alzheimer’s disease. Annals of the New York Academy of Sciences (USA). 663:483-486, 1993. Carta, A., et al. Acetyl L-carnitine: a drug able to slow the progress of Alzheimer’s Disease? Annals of the New York Academy of Sciences (USA. 640:228-232, 1991. Guarnaschelli, C., et al. Pathological brain ageing: evaluation of the efficacy of a pharmacological aid. Drugs under Experimental and Clinical Research. 14(11):715-718, 1988. Passeri, M., et al. Acetyl L-carnitine in the treatment of mildly demented elderly patients. International Journal of Clinical Pharmacology Research. 10(1-2):75-79, 1990. Materia Medica Pettegrew, J.W., et al. Clinical and neurochemical effects of acetyl-L-carnitine in Alzheimer’s disease. Neurobiol Aging. 16:1-4, 1995. Rai, G., et al. Double-blind, placebo controlled study of acetyl-L-carnitine in patients with Alzheimer’s dementia. Current Medical Research and Opinion. 11(10):638-647, 1989. Sano, M., et al. Double-blind parallel design pilot study of acetyl levocarnitine in patients with Alzheimer’s disease. Arch Neurol. 49:1137-1141, 1992. Sinforiani, E., et al. Neuropsychological changes in demented patients treated with acetyl-L-carnitine. International Journal of Clinical Pharmacology Research. 10(1-2):69-74, 1990. Spagnoli, A.U., et al. Long-term acetyl-l-carnitine treatment in Alzheimer’s disease. Neurology. 41(11):1726-1732, 1991. Caution: Take Acetyl L-Carnitine early in the day. Some people may experience increased energy with Carnitine and especially with Acetyl L-Carnitine supplementation. Carnitine (Car) Function: Heart tonic. Carnitine is not an essential amino acid; it can be synthesized in the body. However, it is so important in providing energy to muscles including the heart-that some researchers are now recommending carnitine supplements in the diet, particularly for people who do not consume much red meat, the main food source for carnitine. Even the Physician's Desk Reference gives indication for carnitine supplements as "improving the tolerance of ischemic heart disease, myocardial insufficiencies, and type IV hyperlipoproteinemia. Carnitine deficiency is noted in abnormal liver function, renal dialysis patients, and severe to moderate muscular weakness with associated anorexia." Carnitine has been described as a vitamin, an amino acid, or a metabimin, i.e., an essential metabolite. Vitamins are defined as substances essential to the body that the body cannot manufacture itself. Like the B 354 Glen Swartwout vitamins, carnitine contains nitrogen and is very soluble in water, and to some researchers carnitine is a vitamin (Liebovitz 1984). It was found that an animal (yellow mealworm) could not grow without carnitine in its diet. However, as it turned out, almost all other animals, including humans, do make their own carnitine; thus, it is no longer considered a vitamin. Nevertheless, in certain circumstances-such as deficiencies of methionine, lysine or vitamin C or kidney dialysis--camitine shortages develop. Under these conditions, carnitine must be absorbed from food, and for this reason it is sometimes referred to as a "metabimin" or a conditionally essential metabolite. Like the other amino acids used or manufactured by the body, carnitine is an amine. But like choline, which is sometimes considered to be a B vitamin, carnitine is also an alcohol (specifically, a trimethylated carboxyalcohol). Thus, carnitine is an unusual amino acid and has different functions than most other amino acids, which are most usually employed by the body in the construction of protein. Carnitine is an important amino acid made by the body from lysine. Its most important known metabolic function is to transport fat into the mitochondria of muscle cells, including those in the heart, for oxidation. This is how the heart gets most of its energy. Inborn errors of carnitine metabolism can lead to brain deterioration like that of Reye's syndrome, gradually worsening muscle weakness, Duchenne-like muscular dystrophy and extreme muscle weakness with fat accumulation in muscles. Borurn et al. (1979) have summed up the research by describing carnitine as an essential nutrient for pre-term babies, certain types (non-ketotic) of hypoglycemics, kidney dialysis patients, cirrhotics, and in kwashiorkor, type IV hyperlipidemia, heart muscle disease (cardiomyopathy), and propionic or organic aciduria (acid urine resulting from genetic or other anomalies). In all these conditions and the inborn errors of carnitine metabolism, carnitine is essential to life and carnitine supplements are valuable. Carnitine therapy may also be useful in a wide variety of clinical conditions. Carnitine supplementation has improved some patients who have angina secondary to coronary artery disease. It may be worth a trial in any form of hyperlipidemia or muscle weakness. Carnitine supplements may be useful in many forms of toxic or metabolic liver disease and in cases of heart muscle disease. Hearts undergoing severe arrhythmia quickly deplete their stores of carnitine. Athletes, particularly in Europe, have used carnitine supplements for improved endurance. Carnitine may improve muscle building by improving fat utilization and may even be useful in treating obesity. Carnitine joins a long list of nutrients, which may be of value in treating pregnant women, hypothyroid individuals, and male infertility due to low motility of sperm. Materia Medica Carnosine (dipeptide: Histidine & Alanine) (Car) Functions: Master antioxidant: inactivate reactive oxygen species, scavenge free radicals Extends cell life Protects proteins and DNA against AGE (Age-related Glycosylation Endproducts) found in diabetes, heart disease, stroke, Alzheimer dementia, glaucoma, cataract and skin ageing. Chelates prooxidative metals: copper, zinc and heavy metals: lead, mercury, cadmium, nickel Stabilises cells making them more resistant to injury Boosts immunity buffering the effects of lactic acid in the muscles (the pH remains neutral even in heavy physical exercise, such as sport sprints) aldehyde-sequestering prevention of carbonylation of proteins, i.e. , carnosinylation functions as a neurotransmitter protection of proteasomes. L-Carnosine (kahr´no-sën) is a neuropeptide consisting of alanine and histidine: beta-alanyl-L-histidine. It is made in the human body and found at high levels in brain, innervated tissues, the lens of the eye, and skeletal muscle tissue. In sports and body building carnosine is involved in the detoxification pathway of reactive aldehydes from lipid peroxidation generated in skeletal muscle during physical endurance (Aldini et al. 2002a,b). Hence carnosine protects the skeletal muscles from injury, increases muscle strength and endurance and speed up recovery after strenuous exercise. Absorption of carnosine from food is 30 to 70 % (depending on the amount of various amino acids in the meal) and that of pure L-carnosine greater than 70%. 356 Glen Swartwout Laboratory studies show carnosine protects cells against oxidative stress, functional exhaustion and aging features. Mechanisms of protection are: Proton buffering (maintaining pH balance in the muscles in heavy exercise) Heavy metal chelating (especially copper and zinc) Free-radical and active sugar molecule scavenging (prevents glycation and carbonylation of proteins) preventing the modification of biomacromolecules thereby keeping their native functionality under oxidative stress Physiological concentrations (20-30 micromoles) in standard media prolong the in-vitro life span of human fibroblast cells and strongly reduce the normal features of senescence (aging). In laboratory studies, carnosine clearly improves external appearance of animals and produces beneficial effects on behavior and average life span. Carnosine scavenges all reactive oxygen species Free radicals: Hydroxyl radical (OH-) Superoxide radical (O2-) Nonradicals: Hydrogen peroxide (H2O2) Singlet oxygen (1O2) Lipid peroxidation products: Peroxyl radical (ROO-) Alkoxyl radical (RO-) Secondary products: Malondialdehyde 4-Hydroxyalkenals Materia Medica Age-related conditions that carnosine may be useful for include: Neurological degeneration (Alzheimer, Parkinson, epilepsy depression, schizophrenia, mild cognitive impairment, dementia, glaucoma, migraine and stroke) Autistic Spectrum Disorders, Asperger´s syndrome, ADHD, dyslexia Cellular senescence (aging) Cross-linking of the crystalline lens of the eye (cataract) Cross-linking of skin collagen (skin aging) Formation of advanced glycation end products (AGES) Accumulation of damaged proteins Muscle atrophy Brain circulation deficit (stroke) Cardiovascular conditions Diabetes and its complications Carnosine is a multifunctional dietary supplement with biological roles including: universal and versatile antioxidant activity supporting muscle vitality increasing muscle strength and endurance speeding up recovery after sprints inhibiting cellular damage caused by alcohol As early as 1935, carnosine was recognized as a treatment for polyarthritis. Carnosine has the remarkable ability to down-regulate cellular and enzymatic processes when in excess, and up-regulate them when suppressed. Several recent studies suggest that a combination of zinc and carnosine provide gastric mucosal protection against various irritants and are effective as antiulcerogenic substances (Odashima et al. 2002). For example, carnosine decreases platelet aggregation in patients with abnormal clotting tendencies ("thins the blood"), and increases platelet aggregation in patients with low clotting indices. Carnosine has protective effects on blood cell membranes, enhancing their survival, and has demonstrated cell membranestabilizing effects, offering protection against chemical-induced hemolytic anemia. 358 Glen Swartwout Carnosine therapy, Year: Polyarthritis, 1935 Gastric and duodenal ulcer, 1936 Wound healing, 1940 Hypertension, 1941 Antibiotic, 1969 Anti-inflammatory, 1971, 1986 Adrenal cortex effect, 1976 Sleep apnea, 1977 Trauma, 1980 Immunologic effects, 1986,1989 Seizures, 1989 Coronary heart disease, 1989 Cataract, 1989 Anti-carcinogenic, 1989 Prevention of radiation damage, 1990 ADHD, Autistic Spectrum Disorder, epilepsy, other neurological & psychiatric, 2001 Benefits: safe, naturally present in food and in the body versatile antioxidant and aldehyde scavenger quenches hydroxyl, superoxide and peroxyl radicals superior protection of chromosomes from oxygen damage suppresses lipid peroxidation most effective natural glycation fighter inhibits formation of AGEs protects proteins from AGE toxicity protects proteins from cross-linking multifunctional protein and phospholipid protector protects against formation of protein carbonyls, the hallmark of protein damage inhibits damaged proteins from damaging healthy proteins aids recycling of damaged proteins by protecting the proteasomes Materia Medica helps preserve normal protein turnover extends lifespan 20 % in senescence-accelerated mice dramatically improves behavior and appearance of old mice dramatic effect in Autistic Spectrum Disorders protects brain cells from excitotoxicity protects brain proteins and biochemistry preserves brain biochemical functions safeguards brain chemistry in disorders overproducing free radicals rejuvenates senescent human cells in culture increases cell life span restores youthful appearance and growth patterns to cells approaching senescence protects against metal toxicity chelates copper and zinc naturally protects against copper-zinc toxicity in the brain copper-zinc chelators dissolve Alzheimer’s disease plaques inhibits cross-linking of amyloid-beta into Alzheimer’s disease plaques Trials of Carnosine in Scandinavia report visible skin, vitality and energy improvements within two months. Side-effects: None reported. Carnosine is nontoxic. Histidine (His) Function: Antiarthritic. Histidine is an essential amino acid for infants but not adults. Infants four to six months old require 33 mg/kg of histidine. It is not clear how adults make small amounts of histidine, and dietary sources probably account for most of the histidine in the body. Inborn errors of histidine metabolism exist and are marked by increased histidine levels in the blood. Elevated blood histidine is accompanied by a wide range of symptoms, from mental and physical retardation to poor intellectual functioning, emotional instability, tremor, ataxia and psychosis. Histidine in medical therapies has its most promising trials in rheumatoid arthritis where up to 4. 5 g daily have been used effectively in severely affected patients. Arthritis patients have been found to have low serum histidine levels, apparently because of too-rapid removal of histidine from their blood. Histidine and 360 Glen Swartwout other imidazole compounds have antiinflammatory properties. Histidine may accomplish this function through a complex interaction with threonine or cysteine and possibly copper. However, copper is usually elevated in rheumatoid arthritis patients and worsens the disease. Other patients besides arthritis patients that have been found to be low in serum histidine are those with chronic renal failure. Histidine has been claimed to have been useful in hypertension because of its vasodilatory effects. Claims of its use to improve libido and counteract allergy are without proof at present. Histidine may have many other possible functions because it is the precursor of the ubiquitous neurohormone-neurotransmitter histamine. Histidine increases histamine in the blood and probably in the brain. Low blood histamine with low serum histidine occurs in rheumatoid arthritis patients. Low blood histamine also occurs in some manic, schizophrenic, high copper and hyperactive groups of psychiatric patients. Histidine is a useful therapy in all low histamine patients. Effective therapeutic doses of histidine may range from 1 to 5 g per day. Therapy can be guided by measuring plasma histidine levels. Lysine (Lys) Functions: Antiherpetic; cholesterol binding for removal of arterial plaque. L-lysine is an essential amino acid. Experimental animals on a lysine-deficient diet showed depressed growth and altered immune system function for several generations. Normal requirements for lysine have been found to be about 8 g per day or 12 mg/kg in adults. Children and infants need more- 44 mg/kg per day for an eleven to-twelve-year old, and 97 mg/kg per day for threeto six-month old. Lysine is highly concentrated in muscle compared to most other amino acids. Lysine is high in foods such as wheat germ, cottage cheese and chicken. Of meat products, wild game and pork have the highest concentration of lysine. Fruits and vegetables contain little lysine, except avocados. Normal lysine metabolism is dependent upon many nutrients including niacin, vitamin B6, riboflavin, vitamin C, glutamic acid and iron. Excess arginine antagonizes lysine. Several inborn errors of lysine metabolism are known. Most are marked by mental retardation with occasional diverse symptoms such as absence of secondary sex characteristics, undescended testes, abnormal facial structure, anemia, obesity, enlarged liver and spleen, and eye muscle imbalance. Materia Medica Lysine is particularly useful in therapy for marasmus (wasting) and herpes simplex. It stops the growth of herpes simplex in culture, and has helped to reduce the number and occurrence of cold sores in clinical studies. Dosing has not been adequately studied, but beneficial clinical effects occur in doses ranging from 100 mg to 4 g a day. Higher doses may also be useful, and toxicity has not been reported in doses as high as 8 g per day. Diets high in lysine and low in arginine can be useful in the prevention and treatment of herpes. Some researchers think herpes simplex virus is involved in many other diseases related to cranial nerves such as migraines, Bell's palsy and Meniere's disease. Herpes blister fluid will produce a fatal encephalitis in the rabbit. Lysine also may be a useful adjunct in the treatment of osteoporosis. Although high protein diets result in loss of large amounts of calcium in urine, so does lysine deficiency. Lysine may be an adjunct therapy because it reduces calcium losses in urine. Lysine deficiency also may result in immunodeficiency. Requirements for this amino acid are probably increased by stress. Lysine toxicity has not occurred with oral doses in humans. Lysine dosages are presently too small and may fail to reach the concentrations necessary to prove potential therapeutic applications. Lysine metabolites, amino caproic acid and carnitine have already shown their therapeutic potential. Thirty grams daily of amino caproic acid has been used as an initial daily dose in treating blood clotting disorders, indicating that the proper doses of lysine, its precursor, have yet to be used in medicine. Low lysine levels have been found in patients with Parkinson's, hypothyroidism, kidney disease, asthma and depression. The exact significance of these levels is unclear, yet lysine therapy can normalize the level and has been associated with improvement of some patients with these conditions. Abnormally elevated hydroxylysines have been found in virtually all chronic degenerative diseases and coumadin therapy. The levels of this stress marker may be improved by high doses of vitamin C. Polycarboxylate Amino Acid Ethylene-Diamine-Tetraacetic Acid (EDTA) Ethylene Diamine Tetra-acetic Acid (EDTA) is a synthetic amino acid used for chelation of heavy metals. EDTA is FDA-approved for treatment of lead, mercury, aluminum and cadmium toxicity. EDTA helps clean blood vessels of calcium and plaque. EDTA is essentially non-toxic. It is found in the diet in mayonnaise. 362 Glen Swartwout Glandular Tissues Glandular tissue sources of structural proteins for Phase 3 Regenerative joint support include: Bovine cartilage Chondroitin sulphate/Mucopolysaccharides Glucosamine Sea cucumber Shark Cartilage When animals live without chemical treatments, synthetic antibiotics, hormonal growth stimulants and additives, free ranging in nature, their organs are the most prized food as they are highest in nutrient values. Eskimos for example, would traditionally eat the organ meats and throw the muscle meat to their sled dogs. As the animals we eat have become toxic, their organs, especially those that filter and detoxify the blood, like the liver and kidneys, become the most toxic part of the animal rather than the most nutritious. Thus, we have come to eat only the muscle meat, the least nutritious, but now least toxic part. Healthy biodynamically raised or free range animal organs are potent medicines, whether in small quantities as food, or even smaller quantities, but potentized as homeopathic medicines, called sarcodes. Even diseased tissues and disease vectors are powerful medicines in this non-toxic form, called nosodes. Nosodes can be used for homeopathic vaccination, stimulating immunity without the toxicity of conventional immunizations and their associated preservatives which often include mercury. For more on sarcodes and nosodes, see the section on homeopathic medicine. Communicators: Hormones, Neurotransmitters & Prostaglandins Hormones There are a number of safe natural hormones available over the counter. 7-Keto DHEA Melatonin Pregnenolone Progesterone Vitamin D Adrenal Gland & Corticosteroids Epinephrine is a natural neuro-hormone, released by the adrenal glands. Adrenal glandulars, including adrenal cortex and other nutritional supports for rebuilding the adrenal function should be used whenever the adrenals are run down. Vitamin C and the B complex are particularly important for supporting the adrenals. Among the natural over the counter (OTC) hormones used to restore adrenal function are Pregnenolone, Progesterone, DHEA and 7-Keto DHEA. 7-Keto has the advantage of not affecting sex hormone production. Cortisol is a stress related adrenal hormone. High cortisol contributes to glaucoma and can cause elevation of blood sugar, blood pressure, and intraocular pressure (IOP). The preferred remedy for elevated cortisol is frequent laughter. Botanical adaptagens and compounds to support reduction in stress responses and Materia Medica cortisol levels include Cortisol Manager (Integrative Therapeutics), Relora (a proprietary combination of Magnolia officinalis and Phelodendron amurense available in various labels), Ashwagandha (Withania somnifera), Eleutherococcus senticosus (Siberian ginseng), schisandra (Magnolia vine) and Rhodiola rosea. Pineal Gland & Melatonin Melatonin is the hormone of darkness, secreted by the pineal gland. Melatonin is significantly associated with longevity, cancer prevention and restful sleep. Its production can be blocked by turning a light turned on or left on during sleep or when waking during the night, as well as by electromagnetic and geopathic field exposure. Using a red filter over a flashlight or nightlight preserves the pineals ability to sustain melatonin production. Melatonin may be taken as a supplement before bedtime, or alternatively, its production seems to be enhanced by stimulating the retina with violet light for up to 20 minutes before sleep. Melatonin reduces the rate of aqueous production from the daytime level of 3.1 microliters/minute to 1.5 microliters/minute during sleep. Taken during the daytime, however, Melatonin has detrimental effects, promoting cancer in animal studies. Thyroid Gland & Thyroxin Thyroid glandulars or thyroid hormone replacement therapy can be helpful. Thyroid activity, along with zinc, is needed to metabolize beta-carotene into vitamin A. Both thyroid and adrenal regulation is needed to support the high-energy metabolism of the brain, liver and digestive system. When thyroxine is prescribed medically, the natural source (Armour thyroid) is preferable to synthetic (Synthroid), as electrodermal measures show better tolerance by the liver. Neurotransmitters Acetylcholine and seratonin relax the smooth muscle in blood vessels, improving perfusion. This is essential for oxygenation and nutrition, and works in tandem with the movement-activated lymphatic system and the direct current activated meridian systems for tissue detoxification. 366 Glen Swartwout Phosphatidyl Choline (PC) is available as a high purity nutritional supplement in capsule form as PhosChol (from Nutracell). PC is used even in intravenous form to dissolve fatty deposits in the blood vessels to improve circulatory perfusion. It also functions as a precursor for the body to make acetylcholine. The amino acids L-Tryptophan and 5-Hydroxy Tryptophan (5-HTP) are available as nutritional supplements to supply precursors for the body to make seratonin. For nutritional support for making the catecholamine neurotransmitters, see the section on amino acids. Prostaglandins Melatonin is the only molecular communicator that directly enters every cell in the body, synchronizing the diurnal and seasonal rhythms of all systems to work together coherently. Prostaglandins carry the messages of all other hormones within the cells, and also play an important role in regulating IOP, circulation and inflammation responses. The botanical medicine Coleus forskohlii regulates intra-cellular communication via c-AMP, which mediates most of the effects of prostaglandin PGE 2. Endogenous physiologic signaling receptors, prostaglandins, actions and pathways: DP1-2 receptors bind to PGD 2 and increase Ca++ via PLC stimulation. EP1 receptors bind to prostaglandin PGE 2 and increase Ca++ via PLC stimulation. EP2 receptors bind to prostaglandin PGE 2 and increase cAMP via AC stimulation. EP3 receptors bind to prostaglandin PGE 2 and decrease cAMP via AC inhibition. EP4 receptors bind to prostaglandin PGE 2 and increase cAMP via AC stimulation. FP receptors bind to prostaglandin PGF 2 and increase Ca++ via PLC stimulation. IP1-2 receptors bind to prostaglandin PGI 2 and increase Ca++ via PLC stimulation. TP receptors bind to prostaglandin TxA 2 and increase Ca++ via PLC stimulation. Materia Medica Don't worry... you probably won't be tested on this, so you don't have to memorize it! As Einstein said, when asked by a reporter why he couldn't remember Maxwell's equations, "I know where to look it up!" The point here is that your cells have intricate mechanisms of intracellular communication based on essential fatty acids that regulate functions like inflammation and smooth muscle relaxation which in turn regulates local circulation. So let's take a closer look at a few of these pathways. Eicosanoids, precursors, related analogs, and local physiologic actions: Prostaglandin PGD 3 is made from Omega-3 essential fatty acids EPA & DHA, which can be made by the body in limited amounts from plant precursors. This is a very beneficial pathway to support with high quality fish oil supplements that are assayed to assure they are free of toxins including heavy metals that accumulate in larger fish, especially today's in polluted waters. Prostaglandin PGE 3 is made from Omega-3 essential fatty acids EPA and DHA and indirectly in limited quantities from plant precursors. Like PGD 3, this pathway is supported by high quality fish oil supplements of documented purity. The prostaglandin PGF 2 is made from PGE 2. PGF 2 inhibits inflammation by raising levels of cyclic Adenosine Monophosphate (cAMP). Forskolin, in the botanical medicine Coleus forskohlii, works on the PGE 2 pathway by raising cAMP levels as well, reducing risk of associated tissue damage from processes like free radical pathology, collagen crosslinking and reduction of circulatory perfusion of optic nerve tissues. In fact, where many prescription eye drops risk side effects in those with heart and lung issues, Forskolin, like the Omega 3 EFAs, has side benefits, and can even be used to treat these problems. Most anti-inflammatory drug therapies try to block pro-inflammatory physiological pathways. Prednisone, which can cause glaucoma and cataracts even in eye drop or skin cream forms, is used in high doses to block the liberation of arachidonic acid, the precursor of the pro-inflammatory prostaglandins. This can usually be more safely achieved with supplementation of the safer (OTC) steroids DHEA, its active metabolite 7-Keto, or its precursor pregnenolone, as well as immune-modulating plant-analog phytosterols. Drugs that inhibit prostaglandin synthesis by blocking enzymes that convert arachidonic acid to prostaglandins include aspirin, NSAIDs and acetaminophen. They are responsible for tens of thousands of 368 Glen Swartwout deaths each year in the states alone. When a respected colleague first discovered this at a major research hospital in the 1960's, he was fired because he wanted to publish the connection he found between NSAIDs and kidney failure, potentially saving more lives than are lost on the highways. The hospital was dependent upon funding from the corporations that manufacture the drugs, so the link was kept under wraps... and still is. In addition to massive over the counter sales of acetylated salicylates (Aspirin, Bayer, Bufferin, and generic), ibuprofen (Advil, Motrin, and generic), and naproxen (Aleve and generic), there are 70 million prescriptions for NSAIDs written for Americans each year. NSAIDs over-alkalize inflamed connective tissues, stopping the body's purposeful detoxification processes by forming a toxic malformed gel out of the toxic sol state that contains whatever toxins the body was trying to eliminate, plus the introduced drug. This turns an acute inflammatory healing response into a chronic, and potentially degenerative disease state, which means a headache suppressed with aspirin is more likely to return again and again as chronic headaches. This is good for the economy. In contrast, EPA provides a substrate for the anti-aggregatory, anti-inflammatory and vasodilating prostaglandin -3 series. Other effective alternatives for relief of pain and inflammation include a highly absorbable water-soluble quercetin (e.g. Pain Guard Forte’ from PerQue). Plant sources such as flax seed, hemp seed, chia seed, and walnut provide the precursor Omega-3 fatty acid: Alpha-linolenic acid that the human body converts, though inefficiently, to the longer chain EPA and DHA fatty acids needed for anti-inflammatory prostaglandin formation, neuro-visual development and performance (e.g. DHA for visual acuity) and other cellular needs. Soy and rapeseed (Canola from Canadian Oil Company) also contain ALA but are not recommended as sources by Remission Foundation. DHA is the #1 fatty acid in the central nervous system. Fish oils contain the Omega-3 fatty acids in their physiologically active EPA and DHA forms for health benefits as immediate PG3 prostaglandin precursors, saving the time and energy of the inefficient enzymatic steps necessary to process Alpha-linolenic acid into the biologically active forms. In many health situations, these enzyme pathways limit the amount of eicosanoids the body can produce to much less than the levels requisite for optimal health and performance. Nutrients required for the anti-inflammatory EFA pathways to function include: Essential Fatty Acids (omega-3 and omega-6, in balance) Zinc Magnesium Pyroxidine (vitamin B6) in its active form P5P Niacin (vitamin B3) Materia Medica Ascorbic acid (vitamin C) Enzymes delta-6-desaturase, delta-5-desaturase, elongase, cyclo-oxygenase and oxygenase convert alphalinolenic acid into the beneficial, anti-inflammatory PGE3 series prostaglandins. Omega-3 Pathway (Substrate + Enzyme + Cofactors = Product) Omega-3 EFA substrate + delta-6 desaturase enzyme + B6, Mg, and Zn cofactors = Stearidonic Acid product. Alpha-linolenic Acid (LNA) substrate + Stearidonic Acid elongase enzyme = Eicosatetraenoic Acid product. Eicosatetraenoic Acid substrate + delta-5-desaturase enzyme + Vitamin B3, Vitamin C, and Zn cofactors = Eicosapentaenoic Acid (EPA) product. Eicosapentaenoic Acid (EPA) substrate + cyclo-oxygenase (COX) enzyme = PGE-3. This metabolic pathway is blocked by COX inhibiting drugs. Eicosapentaenoic Acid (EPA) substrate + Lipoxygenase enzyme = Leukotrienes (less inflammatory). This pathway is promoted by COX inhibiting drugs. Omega-6 Pathway (Substrate + Enzyme + Cofactors = Product) Linoleic Acid (LA) substrate + delta-6-desaturase enzyme + B6, Mg, and Zn cofactors = Gamma Linolenic Acid (GLA) product Gamma Linolenic Acid (GLA) + Gamma Linolenic Acid elongase enzyme = Dihomogamma Linolenic Acid (DGLA) Dihomogamma Linolenic Acid (DGLA) substrate + delta-5-desaturase enzyme + Vitamin B3, Vitamin C, and Zn cofactors = PGE 1. This is the preferred pathway to anti-inflammatory Series 1 Prostaglandins. 370 Glen Swartwout With Omega-3 deficiency Arachidonic Acid (AA) substrate (prefers Omega-3 oils) + cyclo-oxygenase (COX) enzyme = inflammatory Series 2 Prostaglandins. COX inhibiting drugs block this metabolic pathway involved in the regulation of tissue detoxification. PGF 2 promotes inflammation while PGE 2 has anti-inflammatory effects. Enzymes: Amplifiers Digestive enzymes are secreted by the digestive system and they break down the food and nutritional supplements into smaller absorbable units. Because the body's capacity to produce digestive acids and enzymes varies from person to person and declines with age, it is helpful to supplement the daily diet with them, but simple substitution of dietary source enzymes for the body's production of enzymes can lead to dependency, actually reducing the body's digestive capacity. Herbal bitters and homeopathic enzymes stimulate the body's production of digestive juices. This is the approach taken in my homeopathic formulation Digestzymes. Live foods contain active enzymes. Cooked and processed foods don't, unless they are fermented, like yogurt or sauerkraut, bringing them back to life. When Pottenger experimented with cats, giving them only cooked food, he could never produce more than three generations. Beyond that they were so sick they were completely sterile. Protease Protease, found in the stomach, pancreatic and intestinal juices, helps to digest proteins. Amylase Amylase, found in saliva, pancreatic and intestinal juices, helps digest starchy carbohydrates. Betaine HCL Betaine HCL (Hydrochloric acid), produced in the stomach, is essential for proper digestion of proteins. Bromelain Extracted from unripe pineapples, it also helps in the digestion of proteins. When eating pineapples, the white variety is much preferred due to its lower acidity, leaving the mouth happier than the common yellow variety. Be sure to save the green top of the pineapple for planting. Just remove all the smaller leaves to give more room for the stem to root, and then place in water or moist dirt to root. Materia Medica Cellulase Cellulase helps in the breakdown of cellulose, a non-digestible carbohydrates found in fruits, vegetables, beans, and grains. Lipase and Ox Bile These two ingredients, one an enzyme the other an animal extract, help in the digestion of fats and oils. Papain Extracted from unripe papayas, papain helps in the digestion of proteins. If a papaya still shows some green color, when you cut it you will see the white latex bead up on the cut surface. This is the sap that contains papain. Green papaya salad is a popular food in paradise... Pepsin Pepsin, found in the gastric juice, works with hydrochloric acid to release B12 and other nutrients from food and also digests proteins. Digestzymes Digestzymes is a 4 ounce liquid homeopathic complex for the stimulation and normalization of digestive functions and System 3 organs. Digestzymes homeopathy complex components: Amylase Ananas comosus Berberis vulgaris Bromelain Chymotrypsin Cinnamomum Coriandrum sativum Eugenia caryophyllata Herbal Bitters Large Intestine sarcode Lipase 374 Glen Swartwout Liver sarcode Mentha piperita Pancreas sarcode Pancreatinum Papain Parotid sarcode Protease Small Intestine sarcode Solar Plexus sarcode Stomach sarcode Trypsin Vagus Nerve sarcode Key Enzymes Nattokinase Nattokinase is the highly effective clot-busting enzyme produced by the spore-forming symbiotic bacterium Bacillus subtilis, typically grown on a substrate of soy beans, producing the traditional Japanese health food natto, which is I suppose a potentially aquired taste, but one of the two Japanese foods I never acquired a taste for in my two years living in Tokyo. The other was raw squid, which seems to resist all attempts at chewing into pieces small enough to swallow. Fortunately, Nattokinase is available as a nutritional supplement. And even better news is that it also contains PQQ produced by our symbiotic friend, subtilis. PQQ is the only supplement that stimulates mitochondria to regenerate. Bacillus subtilis itself can also be supplemented to potentially produce an ongoing supply of Nattokinase and PQQ in the body. Subtilis is also widely use as a fungicide. Bacillus subtilis is found in Primal Defense, FiveLac Probiotic, and as Utilin H and Pleo UT from Sanum. Serrapeptase Produced by the silk worm, Serrapeptase is a proteolytic enzyme that dissolves scar tissue when taken orally. It is synergistic with MSM and Unique E in its action. Materia Medica Lumbrokinase Lumbrokinase is made by earthworms. It is considerably stronger than Nattokinase for digesting blood clots. 376 Probiotics: Symbionts Intestinal Dysbiosis Mileau Modifiers Artemesia Berberine from Berberis aquifolium (Oregon grape root). Berberine is also found in Hydrastis canadensis (Goldenseal), but this herb is becoming more costly due to excessive harvesting since it can only be wildcrafted. Caprylic Acid from Cocos nucifera (Coconut) gently suppresses fungal growth. Cloves Garlic Citricidal Grapefruit Seed Extract (Citrus) Oregano Oil Silver Tannates Undecenoic Acid Basic Probiotic Flora Acidophilus Bifidus Laterosporus Materia Medica Saccromyces Salivarius Sporogenes Phase 5: Balance the Intestinal Ecosystem Antibiotics are commonly used in these times unlike previous centuries. These ever stronger antibiotics destroy the good bacteria as well as the bad, and select for stronger resistant strains, iatrogenically producing nosocomial super bugs. Friendly Flora restores the naturally occurring bacteria, which inhabit the small and large intestine supporting our body functions in countless ways: production of enzymes (protease, lipase, lactase) production of some B vitamins (B12, folic acid) inhibiting overgrowth of toxic microorganisms enhances calcium metabolism stimulating the immune system Take extra Friendly Flora if you experience: digestive discomfort bloating & gas allergic reactions fungal infections use of antibiotics frequent bladder infections diarrhea constipation 378 Glen Swartwout headaches Friendly flora are very sensitive to conditions of stressor exposure to chemicals or environmental toxins. Bacillus pasteurii breaks down 60% of urea in 24 hours, helping dialysis patients go longer and stay healthier between dialysis treatments. Researchers are studying the therapeutic effects of urease, uricase and creatininase from the jack bean plant, Canavalia ensiformis, which also contains the hemagglutinizing lectin concanavalin A, and two species of bacteria, including soil organisms. For several decades, the author has observed that the most common remedies that reduce kidney stress are bacterial flora. Sanum (Symbiotic Flora) Amanita muscaria (the psychoactive fly agaric mushroom) is used for detoxification of organs and blood vessels from drugs and medications, as well as with muscle spasms, migraines and nervous intestinal disorders. Aspergillus niger (a black mold) is used with tubercular and paratubercular conditions such as mucous membrane, tissue and joint inflammations, and to stimulate lymphatic circulation. Aspergillus oryzae (a fungus traditionally used in making soy sauce, miso and sake) stimulates circulation and is used for coronary circulation, the inner ear, headaches and high blood pressure. Aspergillus ruber (a red fungus) is used with all chronic issues with the respiratory tract including rhinitis, sinusitis, bronchitis, conjunctivitis, as well as cystitis and nephritis. Bacillus cereus (an important SBO) is used for immune modulation, and with sub-acute and chronic inflammation, and weakness. Bacillus firmus 501 (an aerobic spore forming bacterium) is an immune modulator used with sub-acute and chronic inflammation, especially of the mucous membranes and accompanied by fever. Bacillus subtilis 345 (an important soil based organism) is an immune modulator used to increase elimination processes with sub-acute and chronic inflammation and issues of weakness. Brucella melitensis (a gram negative coccobacillus) is used with dysmenorrhea, influenza, intermittent fever and subacute rheumatoid arthritis. Materia Medica Calvatia gigantea (giant puffball) is used with bleeding disorders, weakness of the heart and circulation, hypoxia and digestive issues. Candida albicans (the common candida yeast) is used with chronic and systemic mycosis, vaginitis, urethritis, gallbladder issues, allergies, stomatitis, aphthous ulcers, gut pain, colitis, gingivitis, eczema, dermatosis, and constipation or other symptoms caused by antibiotics. Candida parapsilosis (a yeast family fungus) is used with dental issues and for mycosis of the body orifices. Cetraria islandica (Iceland moss, a lichen) is used to enhance circulation of the mucous membranes and respiratory tract, and with sinusitis, laryngitis, bronchitis, dry cough and lack of appetite. Corynebacterium is used for immune stimulation and cancer support. Escherichia coli (a colonic bacterium) is used with intestinal inflammation (such as irritable bowel, coltis), liver, kidney and genital area (e.g. urinary tract infection, prostatitis, vaginitis) and with acute food poisoning. Fomitopsis pinicola (Red Banded Polypore fungus) is used with liver and spleen issues as well as intermittent fever. Grifolia frondosa (hen of the woods, a mushroom) is used for temporary relief of painful skin rashes. Klebsiella pneumoniae (a non-motile facultative anaerobic bacterium) is supportive with influenza, pneumonia, bronchial issues, asthma and other respiratory conditions as well as following antibiotic exposure. Laricifomes officinalis (a bracket fungus) is used with lung issues, inflammation of the digestive organs and fever. Mucor mucedo (a fungus) is used to improve regulatory function of the lymphatic system, to increase microcirculation in the communication system (endocrine glands and brain), and for improving thyroid function, upper respiratory tract issues, autonomic dystonia and anxiety. Mucor racemosus (a key symbiotic tissue fungus) increases circulation and reduces congestion, especially in the cardiovascular system. Mycobacterium bovis (an aerobic bacterium) is used with bronchial asthma, arthritis and nephritis. 380 Glen Swartwout Mycobacterium phlei is a strong immune modulator for the respiratory tract, extra pulmonary tuberculosis and lungs as well as for fever and issues of weakness. Penicillinum chrysogenum (the source of penicillin) is used with chronic and acute bacterial infection, especially staph and strep. Penicillium glabrum (Frequentans fungus) is used with acute, chronic and latent viral conditions. Penicillium roquefortii (blue mold, as in blue cheese) is used with all gastrointestinal issues including mycosis and rebalancing gut symbiosis. Penicillium stoloniferum (a fungus) is used with intercostal neuralgia. Its antiviral activity is used to help prevent viral infections. Propionibacterium acnes (an anaerobic bacterium) is used with acne, rheumatoid arthritis, stiffness from pain, pain from spinal degeneration, dental conditions, autoimmune diseases, osteoporosis, myalgia, and ankylosing spondylitis. Propionibacterium avidum (a skin bacterium) increases circulation including to the extremities, is immunostimulating, and can help with vascular migraines, tinnitus and bladder inflammation. Proteus vulgaris (an intestinal and soil based bacterium) is used with Helicobacter pylori infection, gastritis, dysbiosis, upper digestive issues, genitals, herpes, and bladder issues including bed wetting. Pseudomonas aeruginosa (a skin and soil based organism) is used with infectious and allergic dermatitis, insect bites, burns, upper respiratory tract infections, bronchial asthma, sinusitis, chronic bronchitis, hay fever and autoimmune issues. Salmonella enteriditis is used with chronic bowel issues associated with E. coli and salmonella, chronic gut inflammation, pancreatitis, celiac disease, malnutrition, failure to thrive in children and rheumatic fever. Staphylococcus aureus (a common skin and lung bacterium) is used with staph infections, sinusitis, angina, meningitis, pleuropneumonia and anthrax. Streptociccus pyogenes (an aerobic extracellular bacterium) is used with strep throat, skin infections, carditis, chronic rheumatoid arthritis and migraine. Materia Medica Trichophyton verrucosum (a skin fungus) is used for temporary relief of irritation, itching, and soreness caused by fungal infections: tinea corporis (ringworm), tinea cruris (jock itch) and tinea pedis (athlete's foot), as well as for support and elimination with trichpytosis, tinea, mycosis of the skin and hair, and related hair loss. Soil Based Organisms (SBO) Several soil based organism supplements are available. One, Prescript-Assist (Researched Nutritionals), is even clinically documented. Prescript-Assist contains a broad-spectrum of about 30 soil based, pH-resistant probiotic micro flora in a base of Leonardite, a naturally occurring organic substance consisting primarily of Humic Acids. Humic and fulvic acids are known to help detoxify heavy metals and even maintain immune function at about 85% of normal levels in the face of radiation and chemotherapy, which usually knock out 90% of the body's immunity. Double-Blind and open label studies show significant reduction of issues associated with irritable bowel syndromes, including general ill feelings, nausea, indigestion, flatulence, and colitis. The double-blind study reported in Clinical Therapeutics used one capsule twice a day for two weeks, with benefits observed within that time frame. A subsequent study showed significant reduction in the duration of bacterial diarrhea in two communities in Ecuador compared to standard antibiotic treatment. Alvah C. Bittner, PhD, CPE, et al. Prescript-Assist™ Probiotic-Prebiotic Treatment for Irritable Bowel Syndrome: A Methodologically Oriented, 2-Week, Randomized, Placebo-Controlled, Double-Blind Clinical Study. Clinical Therapeutics, Volume 27. Bittner AC, De la Torre T, Caicedo DR, Yokelson TN. Prescript-Assist Probiotic-Prebiotic Treatment for Bacterial-Diarrhea: Clinical Experience in Ecuador. Clinical Applications: Maintains Healthy GI-Tract MicroFloral Ecologies Promotes Normal Bowel Function Supports Gut Immune-System Assists in Stabilizing the Gut Mucosal Barrier Supports Normal Absorption and Assimilation of Nutrients in the Gut 382 Glen Swartwout The SBO species included in Prescript-Assist are Arthrobacter agilis, Arthrobacter citreus, Arthrobacter globiformis, Arthrobacter luteus, Arthrobacter simplex, Acinetobacter calcoaceticus, Azotobacter chroococcum, Azotobacter paspali, Azospirillum brasiliense, Azospirillum lipoferum, Bacillus brevis, Bacillus marcerans, Bacillus pumilus, Bacillus polymyxa, Bacillus subtilis, Bacteroides lipolyticum, Bacteriodes succinogenes, Brevibacterium lipolyticum, Brevibacterium stationis, Kurthia zopfii, Myrothecium verrucaria, Pseudomonas calcis, Pseudomonas dentrificans, Pseudomonas fluorescens, Pseudomonas glathei, Phanerochaete chrysosporium, Streptomyces fradiae, Streptomyces cellulosae, and Streptomyces griseoflavus. Other less documented SBO formulas are available including Soil-Based Organisms (Swanson) with 15 species, Primal Defense (Garden of Life) with 12 species, and SBO Probiotics Consortia (Body Biotics) with 8 species of mixed gut and soil organisms. Carbohydrates: Sugar, Starch & Fiber Sugar Sugar is a spirit mineral carrier. Both sugar and ORMUS taste sweet. When food is ripe and fresh, it tastes sweet because it is full of nutrition for the body and the spirit vessel. When refined and processed, sugars lose their soul, and their nutritional cofactors, the vitamins and minerals needed to metabolise them. These are weaponized sugars. They deplete the substance of body and soul. Some forms of sugar to avoid include: Aspartame (Equal, NutraSweet, AminoSweet brands: toxic) Beet Sugar (too refined even if it weren't from GMO sugar beets) Brown Sugar (white sugar with a little molasses added back in) Confectioner's Sugar (fine powdered sugar, maybe with some corn starch added) Dextrose (Glucose) Fructose (skip it unless it is found naturally in a whole food) Glucose (essential as blood sugar, but we tend to get too much in our culture) Granulated Sugar (Sucrose) High Fructose Corn Syrup (refined, and probably from GMO corn) High Maltose Corn Syrup (highly refined from corn) Honey (cooked unless it says it is raw, a mix of glucose, frucotse and sucrose) Hydrogenated starch hydrolysates (HSH is processed from corn, wheat or potato and added to baked goods and mouthwashes for viscosity) Materia Medica Invert Sugar (fructose and glucose) Lactitol (a sugar alcohol used in sugar free foods, but it causes lower bowel distress through fermentation in the colon) Lactose (milk sugar) Maltitol (a sugar alcohol with a creamy texture, but excess can cause intestinal distress, gas, bloating and diarrhea) Maltodextrin (highly processed from corn, rice, potato or wheat, used as a thickener) Mannitol (a sugar alcohol from seaweed that can cause bloating and diarrhea) Natural Flavoring (could be anything, including corn syrup) Saccharin (Sweet'n Low: artificial, toxic) Sorbitol (a sugar alcohol that can aggravate irritable bowel syndrome) Sucralose (artificial sweetener marketed as Splenda, SucraPlus, Candys, Cukren, E955 and Nevella) Sucrose (refined beet or cane sugar) Sugar Table Sugar (Sucrose) There are some special sugars and sweet flavors that can be used in place of the usual nutrient depleting forms. Let's take a little tour of some sweet new friends you will want to get to know better... Agave Syrup Agave syrup is higher in fructose than high fructose corn syrup, so don't overuse this sweetener. There are issues with a high fructose intake. A study at UCLA found that a steady high intake of fructose slows brain function, reducing memory and learning. A Princeton study found that fructose causes weight gain, deposition of abdominal fat, and high triglycerides. At Duke University, high fructose diets were found to deplete ATP. The American Journal of Clinical Nutrition reported that high fructose intake can cause metabolic syndrome by producing uric acid, and that it can damage the endothelium of the blood vessels, it 386 Glen Swartwout can stimulate lipogenesis, can cause oxidative damage, and may interfere with hormonal communication of satiety. Barley Malt Barley Malt is a mild, less refined sweetener, high in maltose, with a flavor a little like molasses. Coconut sugar Coconut sugar is unrefined, so it contains the vitamins and minerals naturally found in the coconut source. It has a low glycemic index (35). Jaggery, tapa dulce and rapadura are other names for cooked but unrefined sugar from palm, or sometimes from cane. Date sugar Date sugar is high in fructose. Dried fruit Dried fruit are whole foods, but the sugar content is concentrated by removal of the water so be sure to take extra water to rehydrate these sweet treats. Erythritol Erythritol is a sugar alcohol like Xylitol and Sorbitol. Like the others in this class, does not promote tooth decay. Erythritol is heat stable, and does not cause gas or bloating like other sugar alcohols can, because it is smaller and fully absorbed in the small intestine. Fruit Juice Concentrates Fruit juice concentrates are processed and high in fructose, so keep to a minimum. Fucose Fucose is a sugar found in breast milk, seaweed and yeast as well as some medicinal mushrooms. Fucose improves immunity, supporting prevention of herpes, bacterial and respiratory tract infections, as well as cancer. Fucose is essential for memory. Fucose also reduces inflammation. abnormal in cysticfibrosis, diabetes, cancer, arthritis and shingles. Galactose Fucose metabolism is Materia Medica Galactose is a component of lactose, the sugar in milk, along with glucose. It is released when digested by the enzyme lactase, which is usually not present in those with African and Asian ancestry. Goat dairy is a preferred source. Galactose reduces inflammation and levels are found to be low in arthritis and lupus. Galactose also helps prevent tumor growth and metastasis. It supports long-term memory and wound healing. Isomalt Isomalt is a heat stable sweetener used in hard candies that acts a lot like a fiber in the intestinal tract. Lohan Lohan is a Chinese gourd that has a wonderful sweet flavor reminiscent of brown sugar. Lucuma Lucuma is a fruit from South America. It is available as a raw dried powder. Maltose Maltose is a disaccharide used in making beer, bread and baby food. Mannose Mannose helps prevent bacteria from attaching to the transitional epithelial lining of the bladder, reducing the potential for bladder infections. Mannose inhibits the growth and spread of tumors, and helps prevent parasitic, viral, bacterial and fungal infection. Mannose reduces inflammation and supports tissue repair in rheumatoid arthritis. Mannose also lowers blood sugar and triglyceride levels. Manapol (Carrington Laboratories) is a wonderfully sweet polysaccharide extracted from Aloe barbadensis made mostly of Mannose, and it is very high in ORMUS. Maple Syrup Maple Syrup is concentrated from the sap of the sugar maple tree, and contains the minerals from the sap, giving it better nutritional balance, and certainly more satisfying flavor, than refined sugars. Lower grade, like B grade, is preferred for its higher mineral content. Mesquite 388 Glen Swartwout Mesquite Powder, from the bean pod of the Keawe tree, has a wonderful sweet flavor. Molasses Molasses can be used as a mild sweetener that contains some of the mineral nutrition refined out of sugar cane or sugar beets in making refined sugar. Go for unsulfured blackstrap molasses. N-Acetylgalactosamine N-Acetylgalactosamine is a beneficial protein-sugar compound in cartilage. biocommunication and inhibits the spread of tumors. It is essential in Low levels are associated with heart disease, rheumatoid arthritis, chronic inflammation and cancer. N-Acetylglucosamine N-Acetylglucosamine is a beneficial protein-sugar compound found in cartilage and shiitake mushrooms. It supports repair of cartilage, ligaments and joints. For this effect, be sure to also take SAMe and TMG. NAcetylglucosamine is an immune modulator with activity against tumors and HIV. It is also involved in transporting Iodine to the thyroid gland. Glucosamine sulfate is used in the body to make N- Acetylglucosamine. When taking Chitosan, about 1/3 of the Chitosan is digested into Glucosamine sulfate. N-acetylneuraminic Acid This negatively charged sugar found in breast milk, whey and eggs is the predominant sialic acid in our cells. It is part of the complex glycans on mucins and glycoproteins at the cell membrane. It is involved in biocommunication and brain development. It improves memory and cognitive abilities. It is also an immune modulator that inhibits viruses associated with flu, hepatitis, pneumonia, cold sores and the common cold. It is involved in the protective function of mucus, and reduces histamine release, benefiting asthma and allergies. It also lowers LDL. Its metabolism is affected in Sjogren's syndrome and alcoholism. Raw Honey Once heated, honey is basically sugar. When raw, it contains active enzymes that make it a whole food. Ribose Ribose is the sugar precursor for RNA, Ribonucleic Acid, and DNA, Deoxyribonucleic Acid. Rice Syrup Materia Medica Brown rice syrup is much less concentrated than refined sugars and contains some nutrition from the whole rice grain. It is high in maltose, and tastes a bit like butterscotch or caramel. Stevia rebaudiana Stevia is a shrub from South America. It contains no actual sugars, but it is over 300 times sweeter than sugar, so it makes a wonderful and efficient flavoring. It is often best combined with other sweeteners to avoid a slight aftertaste for some palates. Stevia is heat stable, so it can be used in baking as well. For the full report on Stevia, see the Botanical section. Avoid Truvia brand as it is chemically modified. Sweet leaf Sweet leaf is another plant from South America with a wonderfully sweet tasting leaf. Though not as potent as Stevia, it grows very well here in Hawaii. Tagatose Tagatose, made from milk sugar, has minimal effects on blood glucose and is very low calorie. Tagalose is fermented by the flora in the large intestine, producing short-chain fatty acids, which are absorbed and metabolized. Tagatose is sold under the brand names Shugr, Sweet Fiber, and TheraSweet. Turbinado Sugar Raw sugar is solar dehydrated sugar cane juice. Sucanat is a good brand. Because it contains all the mineral nutrients in the juice, it is more balanced than refined sugar. It is still from sugar cane, which we have been exposed to excessively in our culture, so keep use of this one to a minimum. Muscovado, Demerera and Cane Syrup are similar but usually heated. Xylitol Xylitol is the sugar alcohol found in Birch sap. It is beneficial for the dental area and the lungs. It does not feed the bacteria that cause tooth decay. Just don't give this sugar to your dog, as it wreaks havoc with their blood sugar. Xylose 390 Glen Swartwout Xylose is antibacterial and antifungal, while supporting growth of friendly flora. It helps prevent tooth decay. Absorption is reduced in diabetes and colitis. It is involved in biocommunication between the intestinal tract and the central nervous system. Starch Carbohydrates are made of sugars, so when we digest them, we need the nutrients contained in whole food sources to process those sugars. These are essential vitamins and minerals like B complex and Chromium. When carbohydrates are refined, the first nutrient lost is Chromium. The B vitamins are also refined out. The refined carbohydrates then use up more of these crucial nutrients in the process of being metabolized. This effect on Chromium alone takes 5 years off lifespan if it is not repleted. Simple Carbohydrates Simple carbohydrates are essentially sugars that break down quickly raising blood sugar levels, so minimize them to keep blood sugar levels stable. See the section on sugars above. Complex Carbohydrates Complex carbohydrates are larger complexes made of many sugars covalently bonded into a single, but still digestible molecule. Some break down quicker than others, so minimize carbohydrates with a high glycemic index. The lowest glycemic index bread you are likely to find is pumpernickel at about 41. The lowest glycemic index grains are pearl barley at 25 and rye at 35. Protein enriched spaghetti comes in at 27, with fetuccini (32) and vermicelli (35) not far above. White potatoes are notoriously high at about 85. Sorry. Reach for the plain yogurt. Glycemic index 14. Another important factor to consider is the pH effect of the food. Millet, for example has a pretty high glycemic index at 71, but it is alkaline forming, which helps to balance the acidifying effects of increased glucose in the blood. Materia Medica Remember that carbohydrates are simple a pile of sugar glued together by electrons, so keep it to a minimum. Before the agricultural innovations following the last ice age and the flood, humans ate much less starch, treating it more as a survival food, so emphasize the greens, the veggies, the fresh ripe fruits in season, and enjoy the occasional and small quantities of high quality animal proteins and fats from free range or wild animals. This is the paleo diet that our genes are still mostly designed to thrive on. Fiber Sugars are built up into structural components of plants (fiber) and animals (chitin). Research shows benefits of high fiber diets. Fiber is the indigestible parts of edible plants and is either soluble or insoluble. Research supports fiber's role in: Maximizing mineral absorption and lowering of lipid levels affecting cholesterol count; Increases the breakdown of fat in the small bowel thus aiding in the prevention of constipation; Stimulating the growth friendly bacteria that maintain colon health. There are some studies which implicate fiber in possibly preventing or alleviating: arteriosclerosis, diabetes, colon cancer, diverticular disease, irritable bowel syndrome, Crohn's, gallstone formation, constipation and hyper-lipidemias. Water Soluble Fiber Water-soluble fiber, such as fruit pectin, dissolves in water. Water-soluble fibers provide a source of short chain fatty acids (SCFAs), which nourish and heal the lining of the large intestine. SCFAs reduce cholesterol and inhibit yeast and disease-causing bacteria. Modified Citrus Pectin (MCP) is used in heavy metal detoxification and as a complementary remedy with cancer patients. Prebiotic fibers such as FOS (Fructooligosaccharides) and Inulin provide food for beneficial gut flora. 392 Glen Swartwout Insoluble Fiber Insoluble fiber, like wheat bran, does not dissolve well in water. Insoluble fiber inactivates many intestinal toxins and can inhibit parasite attachment to the walls of the intestine. Insoluble fiber provides roughage, which helps cleanse and tone the bowel, possibly reducing intestinal permeability. A Unique Fat Soluble Fiber: Chitosan Fat-soluble fiber, such as Chitosan marine fiber, absorbs fats and oils for exrection, promoting lower cholesterol as well as elimination of heavy metals, radioactivity and petrochemical toxins. About 1/3 of Chitosan is digested to provide Glucosamine Sulfate which helps repair joints and connective tissues. MicroChitosan is a special preparation of smaller molecular weight Chitosan fibers for maximizing systemic absorption and tissue detoxification. A Unique Positive Ionic Fiber Supplement Summary: Unique Benefits of Chitosan: Beneficial soluble dietary fiber that is more fluid and more stable than others Considered an adaptogen that helps all 60 trillion cells in the body Combine anti-tumor, antibacterial, antifungal and detoxification properties Electromagnetically sweeps out cholesterol, fats and acids Regulate blood sugar resulting in reduced fat production in cells Research documents loss of 8% body weight in fat Reduce ‘bad’ LDL cholesterol 32% in 5 weeks while increasing beneficial HDL Decrease risk factors for obesity, cardiovascular disease, diabetes and cancer Promote healing of ulcers and other lesions Feed joints and connective tissues by providing a source of glucosamine Improve Calcium metabolism and strengthen bones Chelate heavy metals Reduce uric acid levels in the bloodstream Materia Medica Are We Losing the ‘Battle of the Bulge?’ More than 100 million overweight Americans spend about 33 billion dollars each year to try to lose weight. Americans are more closely following government and medical industry recommendations for diet today than they were a decade ago, yet in that time span, the average American has gained an average of 8 more pounds! It’s time for a new approach that focuses on rebuilding cellular health rather than counting calories. Enhanced nutrition is a key factor in the cell’s ability to burn fat and the body’s ability to attain and maintain optimum weight. Vitamin B6 (pyridoxine) is essential for converting stored fat into energy. Vitamin B5 (pantothenic acid) and protein are also needed to burn fat at an optimal rate. Amino acids are essential in the cell’s energy systems but require B vitamins like Choline and Vitamin B6 as well as other nutrients to be utilized. Vitamin E is necessary for fat utilization, doubling fat utilization. The B complex vitamins Choline and Inositol are needed to make lecithin which assists cellular fat utilization. Production of hormones and enzymes required for fat metabolism are similarly dependent on a wide range of nutrients, all of which are found in StarGold. More Reasons to Fight Fat Excess dietary fat is associated with more than just obesity. Excess dietary fat also reduces longevity. It is linked to killer cardiovascular problems including high blood pressure, stroke, coronary artery disease and heart disease. Related problems also include gallbladder disease, joint inflammation like gout and arthritis, liver and kidney problems, diabetes, respiratory difficulties, malnutrition, complications of pregnancy and psychological disorders. Even cancer is linked to excessive fat intake, including cancer of the breast, uterus, cervix, ovaries, prostate, colon and rectum. Colorectal cancer is the number one cancer in the U.S. Digestive tract disorders are responsible for more hospitalization than any other problem, with a total cost of more than $50 Billion every year. Most of these problems could be prevented by reducing dietary fat and increasing dietary fiber. According to the Merck Manual, diverticulosis in the colon increased from 1O% of the population in 1950 to 50% 1987. The 1994 edition now reveals that 100% are expected to develop diverticuli. These pockets are filled with material so toxic that a quarter teaspoon would be lethal if absorbed into the blood. The average American stores 5 to 10 pounds of this excess fecal matter, and 10 to 20 pounds is not at all unusual. The constant, slow absorption of these toxins into the bloodstream contributes to cardiovascular 394 Glen Swartwout disease and stresses every cell in the body. Diverticuli can be prevented with an adequate dietary fiber intake. The Importance of Fiber Dietary fiber is found in fruits, vegetables, whole grains, beans and seeds and not in meat, dairy products or refined foods. One benefit of fiber is that it binds to toxic bile acids and excess fats, reducing their absorption. Fiber provides bulk, producing a feeling of fullness, which helps to reduce overeating. Fiber helps reduce bowel transit time, decreasing production and absorption of fecal toxins, while feeding the friendly flora. Fiber improves regularity, assists in elimination, aids digestion and helps clean the bowels. Fiber is also important in lowering cholesterol, reducing the risk of heart disease, lowering high blood pressure and improving blood sugar. Chitosan (pronounced ‘Key-toe-sahn’) provides all of these fiber benefits and more. For example, studies on diabetes show that Chitosan controls both blood and urine sugar much better than plant fiber. Chitosan is an aminopolysaccharide, derived from chitin which makes up the exoskeleton (shell) of crustaceans such as shrimp, lobster and crab. It has been the subject of over 1500 studies. We have 17 years of clinical research on chitosan as a natural weight loss, fiber and colon cleansing supplement. It has also been used for 30 years in water purification, due to its remarkable ability to absorb oil, grease, and other toxic substances. It is also used in food and beverage plants such as breweries and vegetable canneries. In oriental medicine, chitin has an even longer history of medicinal use. Safe & Effective Weight Loss Chitosan can produce dramatic weight loss as proven in a clinical study in Helsinki. Participants lost an average of 8% body weight in fat in just one month, an average of more than 15 pounds per person! Researchers say the participants "informed us that this chitosan was the best and most hygienic way to take a weight reducing substance." The absence of side effects was touted by the researchers and they were surprised at the blood pressure lowering effects of chitosan as well. This is good news for the 68% of Americans who are now overweight, and even more so the 33% of adults classified as obese. According to the New England Journal of Medicine, even a small amount of extra body weight increases our risk of disease and may affect longevity. The National Institute of Health states that, "Obesity is the leading cause of heart disease, hypertension, stroke, diabetes, and even cancer." Materia Medica Chitosan Chemistry Chitin is similar to cellulose except that acetylamino groups are present in place of hydroxy groups. Removing the acetyl groups, a process known as deacetylation, results in chitosan, an aminopolysaccharide molecule with a strong positive electrical charge, which strongly attracts and bonds to negatively charged molecules. Once in the digestive system, chitosan dissolves and forms a positively charged ionic gel. Negatively charged molecules of fats, lipids, bile and acid-forming ions like chloride attach strongly to the chitosan sites where the acetyl groups were removed. This electrostatic bonding causes large polymer compounds to be formed that bypass the digestive process. The chitosan then acts as a coagulating agent for other high calorie molecules such as complex sugar chains and high caloric carbohydrate micelles. These are substances that often get converted into fat that then builds up in our cells. As the chitosan polymer grows, it becomes too large to be absorbed through the lining of the digestive tract. The polymer is then excreted as waste from the digestive system, carrying away the attached fat and other fat and acid producing substances. It dissolves within the stomach itself and converts into a gel. Chitosan binds dietary cholesterol. The International Journal of Obesity has stated that adding dietary fiber to a low fat diet can help reduce hunger and increase the number of bowel movements; two actions, which greatly enhance weight loss. Fiber has also been linked to slower rises in blood glucose which also profoundly affect how we store excess calories and when we feel hungry. Water purification plants throughout the nation use Chitosan for this purpose. What this indicated to scientists was that Chitosan can selectively absorb fats even in a water medium. Bile acids are neutralized by the chitosan polymer. Bile acids are released from the liver and gall bladder when fats, lipids and other high calorie foods enter the small intestine. Bile breaks down the high calorie substances into small absorbable fat droplets called micelles. Micelles are either enzymatically digested or directly absorbed into the body. Chitosan attracts and binds up to half to 2/3 of these fat-producing micelles so they can be eliminated rather than absorbed. Bile acids also produce bile salts in the colon, considered the most toxic substances in the body, excess amounts of which may contribute to both colon and prostate cancer. Chitosan is lipophilic, meaning that it is attracted to fat. Most fibers are hydrophilic, which means they repel fat and attract water. For example, straight psyllium fiber will absorb water, producing bulk while leaving 396 Glen Swartwout fats behind that can contribute to constipation. Laboratory research comparing 23 different fibers proved that chitosan worked 55% better than the next best fiber for eliminating fat from the intestinal tract. The degree of negatively charged fat, lipid, cholesterol, complex sugar chains, or high calorie carbohydrates bound by chitosan is in direct proportion to the degree of deacetylation. Pharmaceutical grade chitosan is deacetylated between 90 to 95% and can absorb 10 to 12 times it weight. Food grade chitosan is deacetylated between 75 to 80% but only binds 4 to 6 times it's weight. Thus, when purchasing chitosan, the percentage of deacetylation is important in getting maximum benefits. Cholesterol Reduction A clinical study found chitosan reduced total cholesterol by 32% in just 5 weeks. At the same time, beneficial HDL cholesterol, which helps to prevent atherosclerotic plaque, increased by 7.5%. Triglyceride levels are reduced by 18% over the same period. Other studies show decreased concentrations of liver cholesterol. A Japanese study on rats found that chitosan decreased liver cholesterol by 60% in just 4 weeks. Pharmaceutical grade chitosan was shown to be as effective as the best prescription drugs available for lowering cholesterol. Unlike the drugs, however, there are no side effects from chitosan and the cost is much less, as well. Chitosan can also have a major impact on reducing high blood pressure, heart disease, and other cardiovascular problems. In a study at Tottori University, it was found that rabbits fed a high cholesterol diet showed increased cholesterol levels and developed hypertrophic, discolored livers. With the addition of Chitosan to the same diet, cholesterol levels were lower by 430 mg and the livers were normal and healthy. Encouraged by these hepatoprotective results, Japanese doctors then found good clinical effects in Hepatitis B and C, fatty liver, liver cirrhosis, liver cancer and alcohol hepatitis. Others report that taking Chitosan before exposure to alcohol helps to prevent symptoms of drunkenness as well as hangovers. Professor Sugano summarizes, “Chitosan has a strong plus charge, which absorbs bad cholesterol and removes it from our body. On the other hand, chitosan increases good HDL cholesterol. Western medicine has cholesterol-lowering agents, but cannot do the different actions simultaneously like chitosan does. Chitosan’s action should be considered to be controlling or normalizing action for cholesterol and neutral fats rather than merely an action of lowering cholesterol.” The beneficial HDL cholesterol increased by Chitosan is considered to be essential for cellular regeneration, while LDL cholesterol contributes to atherosclerosis, blocking cellular oxygenation and nutrition. Materia Medica Reducing High Blood Pressure Sixty percent of people with essential hypertension can reduce their blood pressure by restricting sodium chloride, or salt, intake. In America, these people are called sodium sensitive, but Japanese research with Chitosan has proved that it is actually the chloride ions, which are to blame. Professor Hiromichi Okuda at Ehime University School of Medicine and Professor Hideo Katoh of Hiroshima Women’s University showed that both in animals and humans with salt-sensitive hypertension, the addition of negatively charged plant fibers to the diet had no effect on the increased blood pressure, but positively charge Chitosan fiber prevented dietary salt from increasing blood pressure. Because sodium is a cation (positive charge) it is attracted to plant fibers and excreted in the stool, while these typical dietary fibers permit chloride ions to be absorbed. They found that chloride then activates Angiotensin-converting enzyme, which synthesizes Angiotensin I into Angiotensin II, the major trigger of essential hypertension. Chitosan, the only fiber with a positive electrical charge, binds the anionic (negatively charged) chloride ions preventing their absorption. In one study, average blood pressures, with the same salt intake, were 200 with regular fiber, but dropped to 120 with Chitosan. Experiments to determine the minimum dosage to block chlorines hypertensive effects found that just 500 mg completely prevented any increase in the blood levels of chlorine. Professor Okuda states, “We could say that 60% of essential hypertensive patients should take 0.5 gram of chitosan right after their meals and would not need the tasteless food which is called ‘low salt diet.’ Chitosan controls (an increase of chlorine and) an increase of blood pressure.” Chloride also stresses triggers abnormal secretion of insulin from the pancreas. As Professor Hideo Katoh explains, “This insulin increase leads to blood pressure elevation. Insulin also works to make body accumulate fats and promotes obesity. And obesity, in turn, triggers possibly diabetes...” By binding to both chloride and sugars, Chitosan thus also helps to regulate diabetes as well as the related condition of obesity. At the same time it is helping to improve circulation, regulate blood pressure, and even reduce atherosclerosis. The overall effect of activating and stimulating cell metabolism results in prevention and even reversal of age-related symptoms. Many users even report gradual darkening of grey hair and lessening of skin wrinkles. Chitosan is a traditional Japanese remedy with hundreds of years of clinical use: Doctor Kataoka reports that only 1 out of 800 patients received no benefits from taking Chitosan. She says, “All my patients tell me that they feel lighter. They feel serene both emotionally and physically. The ordinary medicines can take away symptoms but cannot make patients feel serene. When I am afraid of the 398 Glen Swartwout side effects of medicines or Western medical science, I give chitosan together to neutralize the side effects and make therapy easier.” Dr. Kataoka’s own mother eliminated angina pectoris, chronic tonsillitis, severe low back pain, shoulder pain and foot pain by using Chitosan. Her response was very clear in comparison to previous treatment including herbal medicines. The head nurse at Dr. Kataoka’s clinic, not realizing the powerful effects of Chitosan, tried it for her sore shoulders only after complaining about it to her patients."Within several days her suffering ended. Moreover, in addition to the absence of shoulder stiffness, her continuation of chitosan made her strong throughout her body and made her really happy. Now she has become a believer.” Etsuko, a 28 year-old cosmetician, was extremely out of balance with a constant low grade fever, and had to change her clothes 30 to 40 times a day due to constant perspiration, before her doctor recommended taking Chitosan. Her physician reports, “Three days after she began, her parents called me and told me that she had a loose BM. I told them that it is a sign of body improvement reaction and should be welcome: she should continue taking it, but she could decrease it to one tablet at a time if she could not tolerate it. About one week after she started, her stool became colored bluish-blackish. I wonder what it means. I know a baby produces such a colored stool. Such a stool continued for about three days and diarrhea decreased gradually and disappeared... .The number of times she changed her clothes lessened to only several times a day within the third week. One month after the therapy started, she could come alone to this clinic and showed a healthier face with a vibrant look like a lady of 20s in age.” Her fever was gone after one month, and all symptoms were essentially normal by the second month. One practitioner reports having used Chitosan to remove his own warts, as well as patients’ polyps, achieving good results in combination with herbal therapies. Yukihiro was diagnosed with a severe case of Hepatitis B. After using Chitosan on top of his medical therapies he reports, “It was the most amazing thing that B-type hepatitis virus became zero (or negative).” Yoshiko, age 53, suffered chronic constipation, dizziness and high blood pressure (200 systolic). Dr. Nitta reports, after starting her on Chitosan, “First of all, dizziness of unknown cause became less and less and disappeared in one week. In parallel to it, constipation became less and less.” Dr. Nitta was able to gradually wean Yoshiko off Western antihypertensive medications completely over the first two months as the blood pressure became regulated with the Chitosan. Materia Medica Dr. Yuhkoh Fushuki’s wife, age 63, reports, “Besides having high blood pressure, I fell down because of angina pectoris in the past, used to have fatigue, constipation and other troubles. Everything improved together by taking chitosan. I lost insomnia, too.” Mr. Masao Ishizaka, a well-known lyricist who suffers with severe diabetes, started taking Chitosan. His secretary reported that in about two weeks, he began to have more energy. His facial color became brighter. He was less tired and began needing less time lying down when talking with people. Mr. Sohkoh Koike, president of Orion Company, says, “he was being wasted almost to death...but his present spirit overwhelms me.” His blood sugar levels have improved from about 200 to between 150 and 180. Katsuya, a 55 year-old diabetic lost 11 pounds in his first 4 months on Chitosan (from 156 to 145), but the best part was that his blood pressure and blood sugar both dropped enough to permit his doctor, Dr. Fukushi, to terminate both hypotensive and hypoglycemic drug treatments. From a fasting blood sugar of 234 (normal range 60 to 120) and blood pressure of 190/108 (over 150/90 being hypertensive) before Chitosan, his blood sugar normalized to 119 and pressures dropped to 150/87 with maintenance on Chitosan alone. During the same period, liver enzymes also improved dramatically: GOT dropped from 244 to 24 (normal range 5 to 40), and GPT went from 436 to 37 units (normal range 0 to 35). Mr. Toshiaki Suzuki experienced hemiplegia, high blood pressure (200 systolic), diabetes and other serious symptoms. On taking Chitosan, he observed, “I had diarrhea about three days after I began. I though I made a mistake. It was a body improvement reaction, but I did not know it, then. And I had a sense of distrust about medical matters. Diarrhea tapered off in about four days. About ten days after I began to take it, I noticed something peculiar. My left hand’s strange hot sensation was gone, and a flickering in my eyes during work disappeared.... Having blood pressure taken, I found 160 systolic. It was still high for ordinary people, but it was low for me. Meanwhile I regained my spirits gradually and lost my hand paralysis.... I did not tell my doctor that I was taking chitosan. Fourth month after I started chitosan, doctor’s tests showed that my blood sugar and cholesterol values are really normal. Doctor was more surprised than I was. He asked me, ‘Mr. Suzuki, did you take any other medicine than mine?’” He also noticed, “In the past, my facial skin was dry and hard. After using soap and washing, I had to rub cream into my face. But now, since I started taking chitosan, after I wash my face with soap, my face is smooth. People say that I became younger. Looking at my old portrait photo I see my old self more aged then.” Doctors, such as Kazuhiko Okada, who heads a rehabilitation center in Tokyo reports, “The recovery of muscle cells seems to be promoted very well by taking chitosan.... Therefore chitosan, which has a great power of activating cells, is considered to be an effective remedy.” 400 Glen Swartwout Takahashi, age 53, experienced red, swollen, throbbing fingers. Cracks and pus appeared along with severe pain. Two years of treatment by famous dermatologists and University hospitals brought no improvement at all. After suffering for 5 years, a customer suggested Chitosan. Takahashi reports, “about 8 days after I began, the intolerable pain gradually decreased. The swelling receded little by little. After I finished the first bottle, containing 210 tablets...the fissured (lacerated and opened) wounds were closed. Around that time there was no more pain. Before three months passed, the wounds were completely healed.” Since he had been bald for 20 years, he was also pleasantly surprised by the growth of new hair on his head."In the third month it grew about 1 cm. At the end of the first year I did not need a wig. Look! This must be average hair for a 53-year-old man.” He also noted, “A longtime constipation went away and I have been feeling good. I enjoy food better. I love my job and am happy every day.” Dr. Kohki Lee says that hair re-growth is not rare on Chitosan."I gave a patient chitosan for treating prostate hypertrophy. Then, hair grew on his bald head. About this gift he was extremely pleased.” Dr. Akira Matsunaga concurs, having cured many cases of alopecia areata using chitosan. He reports, “One day a girl student of intermediate school who lost 50 to 60% of her hair came to me. It makes a bald area of about a penny’s size at many places of the scalp in the beginning. When it becomes worse, they join each other and become a big bald area.... In the second to the third month soft hair appeared on her bald scalp area. The only thing to do is wait for a further growth. In one half year the texture of hair became solid and hair became thick.” Dr. Ken Fujihara, who heads his own eye hospital, also improved his own vision with chitosan. Suffering from macular degeneration, he improved his condition in just 10 days at a dose of 9 tablets per day. In his clinical experience, “Chitosan causes a good effect not only on macular degeneration, but also on prevention and therapy of cataract... .It diminishes the established eye disorders and especially eye fatigue.” An 82 year old man awaiting hospitalization for liver cancer started taking 15 tablets of Chitosan daily. The man’s son reported that he “had a senile cataract and could not see more than things covered with mist and cloud. But he did not take care of his eye trouble, as he was more concerned about his liver cancer. However, about ten days after he began chitosan intake, he could see printed words well. Being overpleased, he started reading books for two to three hours every day.” Upon admission to the hospital it was found that the liver cancer had already begun to shrink. He “was told to wait and see it the future course. Within one week he was discharged... .He became much stronger than before - his hair became darker and his whole body became younger. Cataract was cured and his eyesight improved. Now he does not need glasses to read small prints in small books that I cannot see well” his son reports."The hospital Materia Medica president is his physician and sees him once a month. The doctor is puzzled about the improvement of his condition which was obtained by no medicines, but by chitosan alone.” Dr. Kohki Lee, an OB-GYN, reports on his own personal results from taking 6 chitosan a day, “The first thing I noticed was that my generalized fatigue was going away. I did not feel tired after I worked all night through. Until then, I used to fall asleep during my nighttime duty. In the past I could not read some numbers on a clock on the wall or saw them crooked. One to two months after I began chitosan, I was able to see things in a completely normal way.” Having had a history of retinal hemorrhage in his right eye, he had a checkup by his ophthalmologist. Dr. Lee reports, “To my amazement, the right eye with the past retinal bleeding had eyesight 1.5 (20/13) and the left eye without bleeding had 1.2 (20/17) eyesight. The bad eye had become better than the good eye. I could not think of it from medical common sense. The good vision of the right eye remains the same now - furthermore, it is not the only thing that improved... .I used to have (herniated) disc a few times a year; then I could not turn myself in bed and could not go to hospital. But I have had no disc troubles for the past three years since I started taking chitosan... .I do not catch cold either.” His high blood pressure, which ran as high as 160/110, also reduced to 130/80. Fumiko, age 48, suffered from sarcoidosis. In just 3 months on Chitosan, her Angiotensin Converting Enzyme (ACE) level improved from 38.6 to 25, which is at the upper limit of normal. Her eyesight was restored to better than 20/20 and a portion of the granulomatous lesion in her lung disappeared. At the same time, her weight returned to normal. Dr. Takashi Tsuneyasu, still head of Tsuneyasu Medicine Hospital at age 71, takes Chitosan for prevention. He states, “As my father dies of stomach cancer, and my older sister dies of lung cancer, I have a possibility of inheriting cancer body constitution and have to prevent cancer by taking chitosan. But I have received an additional benefit of being made younger and high-spirited.” After seeing his own health improve, he now recommends Chitosan to patients as well."It prolongs life expectancy. It improved a patient with chronic arterial obstruction and a difficulty walking. It is also effective for mucous membrane disease - the mucous membrane include throat, digestive organ mucous membrane, bronchial membrane, intestinal mucous membrane, etc.” Having researched lung diseases at Kyushu University, he is now studying how Chitosan has been able to reverse cases of irreversible diseases including lung fibrosis. Yoshiya, a young man suffering from severe MS, improved so much on 21 tablets a day of Chitosan, that in one month tests no longer showed any abnormality and he was discharged from the hospital. His mother took Chitosan for three months prior to surgery for cancer, which shrunk remarkably during that time. She 402 Glen Swartwout explains, “There are five stages, 1 to 5 in increasing order. When my cancer was found, it was C or 3, the intermediate. When taken by operation, it was A or 1, the beginning of the beginning.” One man, age 30, had suffered from chronic allergic rhinitis that drugs were never able to suppress. It cleared after just one month on six Chitosan a day. Masayoshi, a 57 year old hemodialysis patient, says “In one week my BM became better. Within a few months my lead-colored skin became clean, had a healthy color and was moistened. My sleep became sounder and my fatigue was gone. But my blood pressure did not go down below about 180 systolic.” Then within two weeks of increasing Chitosan to 15 per day, he says “It went down to 150 systolic and sometimes down to 130 or so.” Dr. Tetsushiro Shigeno, who operates Shigeno Testuhiro Clinic in Tokyo, reports that “Chitosan kills pain, and puts down inflammation, and is used for suppurative diseases. It is powerful to remove toxins, impurities, pus, swollen things and stiff stuff: it is effective for breast cancer and lymphoma. It excretes the wastes from chronic nephritic kidney... . Chitosan’s actions of excretion and detoxification work quickly. With this method I have prevented the uremic crisis of chronic nephritis patients.” Kishio, age 64, suffered from numerous complications of asthma, including pulmonary emphysema, chronic heart failure, chronic gastritis, masked depression and allergic rhinitis. After two weeks of diarrhea, a detoxification reaction, all of his complications began to clear, and he suffered no more asthma attacks for the first time in over 30 years. Dr. Yoshiki Yamada, once a surgeon in the First Section of Surgery at Nara Medical University, has now given up surgery completely, after seeing too many patients relapse. He now uses alternative methods including therapeutic (ionized) water, herbs, energy therapies including far infrared, plus powerful natural remedies including Chitosan. Sohkichi, age 70, went to the hospital when he felt a mild chest pain. X-rays showed many white shadows. His wife recalls, “They were lung cancer and there was metastasis to the liver. Only one month of life he has - his doctor told me.” The cancer was found to be inoperable, and intravenous injections had caused edema in his feet before he started on Chitosan."But one week after he started taking it, leg and foot swelling like a balloon began to shrink. Like interlocking with it, his ascites (fluid in the abdominal cavity) waned slowly and the abdomen shrank gradually.” Within about 15 months, his cancer was totally gone! Materia Medica Sachiko, age 68, had a suspicious wine-colored growth on her arm that had grown steadily since appearing 3 years prior. She suspected cancer, especially since her father and six brothers had all died of cancer. At the same time, she didn’t want to risk a needle biopsy as that could trigger increased growth of the lesion. She says, “I continued taking 4 tablets of Chitosan a day every day. Then, about one month later, the raised part was slowly lowered down. The wine color became darker. I thought that ‘cancer’ was going to die... .Honestly speaking, I just wanted to prevent it from growing. Seeing it disappear, I was very happy. I felt like I was dreaming.” A woman of 102 years of age was diagnosed to live for only several hours. Her physician, Dr. Akira Matsunaga recalls, “The eye-blinking reaction, corneal reflex, pain sensation and perception were all gone. Her breathing stopped occasionally. Her pulse was not clearly felt... .I had chitosan powder that I had put in my bag unaware of doing it. I dissolved it in vinegar in a tea cup and had her drink a little of it... .Next day her daughter called me. She said, ‘My mother became conscious again.’ She really surprised me. On the second day, she began to mutter something. The third day she used a comb to comb herself... .She became stronger every day. Her communication with her family was very good and her memory was quite good. She enjoyed talking with everybody. Two months later, she finally said, ‘Thank you very much for your care.’ The next day she quietly passed away.” No wonder over 2 million Japanese take Chitosan every day! More Uses Discovered Acne: Chitosan has been used effectively because it inhibits the specific bacteria which cause the inflammation associated with acne. Agriculture: Chitosan can be coated on seeds, resulting in increased crop yields, since chitosan induces a protective response in the germinating plant. When Chitosan is used as a fertilizer, no chemicals are needed because plants are naturally stronger. Plants normally absorb small amounts of chitin from the insects they come in contact with. It seems that the use of insecticides has actually reduced the level of chitin in plants, by killing the insects that produce it. This has resulted in weaker plants, and also less chitin in the food chain for human consumption as well. Antacid: A patent has been issued for using Chitosan as a safe and highly effective antacid. 404 Glen Swartwout Antibiotic Resistance: Chitosan is being used to prevent and control nosocomial (hospital) infections from methicillin-resistant Staphylococcus aureus (MRSA). Arthritis: Enzymes produced by friendly flora produce Glucosamine from Chitosan. Glucosamine has been found to decrease the pain and disability of arthritis, while helping to repair damages joint tissues. Chitosan can be taken together with Friendly Flora to enhance this effect. Burn Treatment: Chitosan can form tough, water-absorbent, biocompatible films directly on a burn by application of an aqueous solution of chitosan acetate (chitosan dissolved in dilute vinegar and then further diluted before application). The solution, although acidic, provides a cool and pleasant soothing effect when applied to the open wounds of burn patients. Another advantage of this type of chitosan treatment is that it allows excellent oxygen permeability. This is important to prevent oxygen-deprivation of injured tissues. Additionally, chitosan films have the ability to absorb water and are naturally degraded by body enzymes. This fact means that the chitosan needs not be removed. In most injuries, and especially burns, removing the wound dressing can cause further damage to already injured tissues. Calcium: Clinical tests show that Chitosan increases the bio-availability of calcium. Candida: Fungal overgrowths, especially Candida albicans affects millions of people. In vivo clinical studies show that chitosan effectively kills Candida. Cell Biology: Chitosan aggressively binds to a variety of mammalian and microbial cells, leading to possible applications as a hemostatic and bacteriostatic agent. Chitosan can be referred to as a polycation. Since the early 1950s, polycations have been known to bind to red blood cells. Many studies since have shown that polycations are effective cellular agglutinating agents. In the early 1960s, chitosan was investigated for its agglutinating and binding abilities. It was found that chitosan, even at very low concentrations, had the ability to agglutinate red blood cells. This led to chitosan's consideration as a hemostatic agent. The agglutination of red blood cells by polycations is dependent both on polymer structure and molecular weight. Out of six common polycations, only chitosan was able to effectively initiate gel formation of heparinized blood. Chitosan with a molecular weight of 35,000 was able to produce a loose coagulum in heparinized blood, while chitosan with molecular weights of 600,000 or above produced firm coagulum. The normal repulsive force between red blood cells is due to the high net negative charge on the cell membranes. This high negative surface charge is predominantly due to the presence of neuraminic acid, which binds to Chitosan’s positive charges. Materia Medica Detoxification: Chitosan chelates heavy metals, radioactive materials and other toxins, decreasing absorption of toxins in food and water, while preventing re-uptake of wastes excreted by the liver, a common problem sometimes referred to as ‘toxic ping-pong.’ In fact, water purification plants throughout the nation use Chitosan to detoxify oils, heavy metals and other potentially toxic substances. Doctors in Japan find that Chitosan reduces side effects of synthetic medications, too. And after the Chernobyl disaster, Doctors from the Ukraine travelled to Japan to learn how Chitosan could reduce the effects of radiation on the immune system. Later, Dr. Zemskoff of the National Kiev Clinical Research Hospital concluded that Chitosan had decreased pain and fatigue while improving appetite, motivation to live and other quality of life (QOL) indicators for radiation patients there. They noted increased physiological activation and it was concluded that Chitosan is effective against radiation sickness. Measurements of Chitosan’s ability to adsorb and excrete radioactive elements showed that in just 2 weeks, over 50% of the K70 and Ru106 was detoxified and over 65% of the Cs137 was eliminated as well. It appears to be wise to keep a supply of Chitosan on hand in case of any nuclear disaster. Immunity: Recent studies reveal that Chitosan stimulates the immune system. Chitosan also reduces immune stress as shown by a reduction in the number of macrophages in the bloodstream. Natural Killer cells are increased 4 to 5 fold. Plaque: Studies using chitosan in chewing gum show that chitosan increases the saliva pH and actually binds to the bacteria that cause plaque and tooth decay. Openning Chitosan capsules in the mouth could provide similar benefits. Skin Problems: Dr. Akemi Kataoka reports on her extensive clinical application of Chitosan, “It is effective against various bacteria and fungi. Our clinic cures well athlete’s foot, psoriasis and skin diseases that Western medicine has a difficulty treating, by giving chitosan orally or applying it topically to the skin.” Chitosan combines its antimicrobial powers with immune activation and improved wound healing abilities. In additional to oral use, it can be dissolved in dilute vinegar (acetic acid) and then either added to bath water (about 2/3 of an ounce) or diluted for direct topical application to problem skin areas. Taking the solution orally can also be helpful for problems in the mouth and esophagus. Tumors: Chitosan impairs tumor growth in vivo, yet studies show no toxic or allergic side effects on animals even when consuming up to 1O% Chitosan in their daily diet. Chitosan increases NK cells that selectively kill cancer cells by a factor of 4 to 5 times. A study of 800 people at Saitama Cancer Center found the the higher the NK cell activity is, the lower is the liklihood of cancer. Chitosan increases another type of lymphocyte, the LAK cell, as well, enhancing the immune system’s cancer killing activity another 3-fold. In 406 Glen Swartwout addition, Chitosan relieves cancer pain by counteracting Toxohormone ‘L’ which is excreted by cancer cells. Dr. Ichiro Azuma, president of Immunology Institute at Hokkaido University reports that Chitosan prevents cancer metastasis as well. Chitosan prevents cancer cells from getting into the blood vessels, and furthermore prevents any present in the blood from getting out into the tissues to seed a new tumor. In one study, isolated components of Chitosan even blocked cancer cell reproduction, one by 85% and another by 93%. No wonder the Japanese are calling Chitosan a “Nobel Prize” substance. Wound Healing: Chitosan helps blood to coagulate, an important step in healing injured tissues. A Chitosan solution applied topically to wounds inhibits scar-forming fibroblasts, while accelerating wound healing by over 30%. Standard sutures coated with chitosan show wound-healing activities only slightly lower than allchitin fibers. Surgical gauze coated with chitosan demonstrates substantially greater activity than an uncoated control group. Surgical grafts connecting major arteries also show reduced leakage when using Chitosan. Quality and Effectiveness Food grade chitosan has been shown in both "in vitro" and "in vivo" studies to bind 4 to 6 times its weight in fat. When combined with ascorbic acid, its ability to bind lipids increases to 6 to 8 times. Clinical studies show that when ascorbic acid is added to pharmaceutical grade chitosan its effectiveness is almost doubled. Chitosan can bind as much as half to two thirds of the high calorie foods we eat. Recommended Use: Take 2-4 capsules, or more if body weight is over 150 pounds, with an eight-ounce glass of water up to 30 minutes before heavy meals. Take more with high fat content meals. Japanese doctors recomend a total of 4 capsules per day for health maintenance, 6 to 8 for chronic discomfort or fatigue, and 8 to 10 when ill. In the case of more severe illness, up to 15 capsules per day are suggested. If flu-like symptoms of a ‘detoxification reaction’ appear, reduce the dosage until symptoms clear. For pets, usually one capsule per day is sufficient. Chitosan may be taken with 1-2 grams of Vitamin C for increased effectiveness. For best results, use Chitosan with a balanced low fat diet and additional supplements like StarGold, Weight-Less, moderate exercise such as rebounding, adequate rest and 6 to 8 glasses of Microwater and/or Coral-Calcium water daily, as with any fiber supplement or health regimen. DHEA works synergistically with Chitosan, as it inhibits the enzyme G6PD responsible for storing fat. Other synergistic supplements include Digestzymes, Ester-C Complex, Chromium and Friendly-Flora. Chitosan is also reported to be safe for children and people who are slender but have high cholesterol levels. Take essential fatty acids and other fat-soluble Materia Medica dietary supplements two to four hours before or after taking Chitosan. Specific products you should be aware of are Phytosterols, Vitamins A, D, E, and K, and any supplement containing essential fatty acids (e.g. EPA, DHA, Primrose Oil, Pumpkin Seed Oil, Borage Oil). Note: Individuals with shellfish allergies and pregnant or lactating women should consult a health care practitioner before taking this product. Check with your physician before taking chitosan if you are taking prescription medication of any kind. Chitosan Demonstration Materials: 10 drops of a yellow colored oil such as peanut oil (or whole milk), pure filtered water, a clear glass with no soap residues, 2 capsules of Chitosan and a fork. Procedure: 1. Fill a clear glass with water. 2. Add 10 drops (1/4 tsp) of yellow colored oil (or whole milk). 3. Empty 2 Chitosan capsules onto the mixture. 4. Gently stir with a fork for 5 to 10 seconds. 5. In about 15 seconds, the fat will be absorbed and separate out, floating or sinking depending upon the specific gravity of the resulting ‘grease ball.’ 6. Remove the ‘grease ball’ with the fork if closer inspection is desired. MicroChitosan MicroChitosan is a supplement of smaller molecular weight chitosan fibers to maximize systemic absorption and detoxification of a wide range of toxins, including biological toxins like those that cause Lyme's disease symptoms, heavy metals, radiation and petrochemicals. 408 Botanical Allies Always remember the first rule of medicine: "Primum non nocere." (First, do no harm) Botanical Actions Key > decrease = balance < increase italics caution bold emphasis Action Definition Abortifacient < risk of an abortion Alkali < pH (< alkalinity; > acidity) Alterative > chronic degeneration; < metabolism Anaphrodisiac > sexual passions Anesthetic > sensation and consciousness by carrying M-state minerals into cell membranes (avoid) Anodyne > pain Anthelmintic > worms (Vermifuge) Antiemetic > nausea, vomiting Materia Medica Antihydrotic > perspiration (avoid) Antilithic > stones Antiperiodic > fever Antiphlogistic > inflammation of the membranes Antiscorbutic > scurvy; < Vitamin C effect Antiseptic > bacteria, putrefaction Antispasmodic > muscle spasms Antizymotic > fungi, fermentation Aperient < purgation Aphrodisiac < sexual passions Aromatic: olfactory scent (contains carbon ring structures that carry spirit minerals) Astringent < tone of membranes; > fluid leakage Bitter < digestion Cardiac depressant > force & rate of the heart Cardiac Stimulant > rate & < force of the heart Carminative > gas Cathartic < peristalsis, bowel-movements Caustic destruction of a tissue (Escharotic) Cephalic: for the head Cerebral-Depressant < then > brain-function (Sedative) Cerebral-Excitant < brain-function (Stimulant) 410 Glen Swartwout Cholagogue < bile Ciliary-Excitant < mucus-elimination of the bronchi Cordial Aromatic, strong Demulcent: soothing Dental-Anodyne > tooth-pain Deobstruent > obstructions Diaphoretic < perspiration Disinfectant > infection Diuretic < urine Drastic Purgative, violent Ecbolic < abortion Emetic < vomiting Emmenagogue = menstruation Emollient < soften & relax: skin Epispastic < inflammation, blisters (Vesicant) Errhine < nasal-secretions Escharotic < tissue-destruction Expectorant < mucus-membrane-secretion Febrifuge > fever (Antiperiodic) Galactagogue < milk Germicide > germs (Parasiticide) Materia Medica Hemostatic > bleeding (Styptic) Hypnotic < sleep Irritant < activity of the epithelium Lactagogue < milk (Galactagogue) Laxative < bowel-movement (Aperient) Lithotropic > stones Motor-Depressant > motor-function; < paralysis Motor-Excitant < motor-excitability Mydriatic < pupil Myotic > pupil Narcotic > consciousness; < stupor Nervine > nerve-activity Oxytocic < abortion (Ecbolic) Parasiticide > parasites Pectoral for the chest Protective > injury Pulmonary-Sedative > irritability of the respiratory-nerves Purgative < peristalsis Pustulant < pustules Refrigerant > thirst; < cooling Resolvent > disease 412 Glen Swartwout Respiratory-Depressant > respiration Respiratory-Stimulant < respiration Restorative < strength & vitality Rubefacient < skin-redness Sedative < then > brain-function Sialagogue < saliva Soporific < sleep Spinant (Motor-Excitant) Sternutatory < sneezing Stimulant < brain-activity Stomachic < stomach-activity Styptic > hemorrhage Sudorific < perspiration Tenifuge > tapeworms Tonic < tissue-tonicity Vermifuge > worms Vesicant < blisters Vulnerary < wound-healing Materia Medica Essential Oils Essential Oils are extremely potent concentrates of fat-soluble botanical chemistry. Most are so potent that they are only safe when used as aromatherapy or diluted in a carrier-oil for topical application. Even in this form, some, such as Tea Tree Oil are contraindicated on open wounds, as disruption of the skin's normal barrier function results in increased absorption, and the absorbed oil becomes an irritant that prevents wound healing, often leading the unwary user to apply more, thinking the inflammatory response is due to infection. What are essential oils made from? Analysis of 135 oils shows: Aerial parts = 31% Leaves & twigs = 18% Berries/fruits = 11% Flowers = 9% Resin/gum = 8% Rhizomes/roots = 8% Seeds = 8% Bark/wood = 6% In France, physicians use certain essential oils internally in tiny doses. Here are some of the powerful essential oils that are used internally with great care to avoid toxic dosages that can be a matter of a few drops. Anise (Pimpinella anisum) Swallowing air, migraine, palpitations Bergamot (Citrus bergamia) Intestinal colic & parasites Black Pine (Pinus sylvestris) Respiratory tract, urinary tract, infection, gallstone, impotence 414 Glen Swartwout Cinnamon (Cinnamomum ceylanicum) Debility from flu, slow digestion, GI spasm, impotence Clary Sage (Salvia sclarea) Exhaustion, dyspepsia, low BP, menopause, thrush, stomatitis, scanty periods, wound healing, night sweats in TB Clove (Eugenia caryophyllata) Bud Toothache, sores, insect repellent, lupus, debility, amnesia, indigestion, before childbirth, scabies, ulcers Coriander (Coriandrum sativum) Seed Hg detox, nerve or GI pain, gas, anorexia nervosa Eucalyptus (globulus, radiata or smithii) Congestion, UTI, fever, diabetes, migraine, worms Fennel (Foeniculum vulgare) bitter Weight loss, gas, vomiting, urinary stones, frequent urination, scanty periods, slow digestion Geranium (maculatum) Hg detox, weak adrenals, urinary stones, gastric ulcer Ginger (Zingiber officinalis) Loss of appetite, GI pain/gas/diarrhea, scurvy Grapefruit (Citrus paradisii) Obesity, cellulite, cleansing, PMS, headache, stiffness, hair loss, drug/alcohol withdrawal Holy Basil Mental fatigue, GI spasm Lavender, High Alp (Lavendula) Materia Medica All wounds, burns, insect bites, flu, migraine, vertigo, asthma, spasmodic cough, enteritis, gonorrhea, leucorrhea, paralysis Lavender (Lavendula officinalis or angustifolia) All wounds, burns, insect bites, flu, migraine, vertigo, asthma, spasmodic cough, enteritis, gonorrhea, leucorrhea, paralysis Lemon (Citrus limonum) Atherosclerosis, liver, varicose veins, stones, infection, debility, rheumatism, hemorrhage Lemongrass (Cymbopogon citratus) Anxiety, colitis, sympathetic stress, lice, sagging skin Lime (Citrus aurantifolia) Deodorant, astringent, antiseptic, antiviral, carminative, diuretic Marjoram (Origanum marjorana) General and nervous debility, migraine Mountain Savory (Satureia montana) GI pain, mental fatigue/eye strain, impotence, diarrhea, anti-bacterial/fungal Nutmeg (Myristica fragrans) Chronic diarrhea, halitosis, toothache, gallstones, rheumatic pain, gas, debility Orange (Citrus aurantium) Heart rhythm, chronic diarrhea, insomnia Peppermint (Mentha piperita) Gall bladder, IBS, palpitations, migraine, painful period, debility Sandalwood (Santalum album) 416 Glen Swartwout Urinary tract infection, gonorrhea, bronchitis, diarrhea Sandalwood (Santalum album) Urinary tract infection, gonorrhea, bronchitis, diarrhea Spearmint (Mentha spicata) Bronchitis, sinusitis, nausea, headache, flu, fatigue Sweet Birch (Betula lenta) Rheumatism, wounds, uric acid, muscle cramp, cellulite, hair growth Sweet Orange (Citrus aurantium) Heart rhythm, chronic diarrhea, insomnia Tangerine (Citrus reticulata or madurensis) Muscle spasm, liver, lymph, emotional trauma, calming Thyme (Thymus vulgaris) Debility, any infection, flu after chill, GI parasite, sleep Wintergreen (Gaultheria procumbens) Chronic muscle/joint pain, athletes, fever, cellulite Ylang Ylang (Canaga odorata) Hypertension, tachycardia, impotence Materia Medica Flower Essences Flower essences are very subtle, gentle remedies made by extracting the spirit of a flowering plant. This approach to psychosomatic plant medicine was developed by Dr. Edward Bach in England, when he attempted to commit suicide by starving himself amidst nature. He found that his suicidal depression was healed by the flowers he came across. This inspired him to return to medical practice and develop this gentle, effective, natural, non-toxic approach to healing issues of the psyche. Flower essences will be covered in more detail in Anima Medica, Volume II of this Vis Medicatrix Naturae set. Botanical Allies Allium sativa (Garlic) Phase 2: Rejuvenate Circulation (System 2) A remedy whose effectiveness is well documented throughout history comes to us with many uses. Natural antibiotic used for colds and many other types of infection Destroys parasites and worms Free radical quencher protecting the cardiovascular system Beneficial affects on the blood pressure and cholesterol balance Aphanizomenon flos-aquae (Blue Green Algae) Phase 5: Balance Communication (System 4) Aphanizomenon flos-aquae means invisible flower of the water. This microscopic, unicellular plant is a fresh water nutritional cyanophyta (blue green algae) considered the most nutritious food on the planet. 418 Glen Swartwout Cyanophyta are live plants found growing in most sunlit water as well as in soil, on tree bark and even on rocks. There are about 50,000 species which include seaweeds and plankton. Cyanophyta make 90% of our planet's oxygen and 80% of our food. Aphanizomenon flos-aquae is one of about 1500 species and is found uniquely in Upper Klamath Lake, Oregon, one of the few lakes on the planet that remains alkaline due to high mineral content from a massive volcanic eruption about 7,000 years ago. Seventeen tributary streams and rivers deliver 50,000 tons of mineral ash silt annually to the 140 square mile lake from the surrounding 4,000 square mile volcanic basin. This makes Upper Klamath Lake one of the richest nutrient traps in the world and an excellent source of m-state minerals. Since Aphanizomenon flos-aquae became available as a food and remedy source over 20 years ago, significant benefits have been observed in medical and scientific research as well as the clinical results of health care practioners and individual testimonials. These frequently include: Increase energy, stamina and feelings of well being Enhance brain function including heightened mental clarity and creativity Increase mental focus and concentration Stabilize mood swings Balance blood sugar levels Decrease insulin requirements Decrease side effects of chemotherapy Support a youthful appearance Maintain healthy cholesterol levels Reverse or delay premature aging by repairing cellular damage Increase clarity and sharpness of eyesight Alleviate depression and reduce mood swings Helps to normalize weight Balance the endocrine system Stimulate and enhance the immune system Normalize the appetite, naturally Lower blood pressure Promote intestinal regularity Purify and nourish the blood Promote the growth of stronger nails, smoother skin and silkier hair. Materia Medica Available forms tablets viable liquid (frozen) Ginkgo biloba (Ginkgo) Ginkgo biloba has been used therapeutically for thousand of years for its beneficial effects on: the kidneys and the lungs, including asthma increases the circulation throughout the entire cardiovascular system increases the blood flow to the brain and eyes, bringing more oxygen and glucose to these cells improves calcium handling increases circulation to the joints, helping restore healthy function Ginkgo often helps symptoms like: dizziness headaches ringing in the ears hearing loss memory loss depression reduced alertness failing vision Improving Memory in Older Patients with Dementia Review of 33 human clinical trials by researchers at Oxford University [1] citing "promising evidence of improvement in cognition and function associated with Ginkgo."[2] Funding was provided by the Alzheimer's Society of England in cooperation with Oxford University. "Ginkgo standardized extract is approved as a medicine in several European countries for a variety of health conditions, primarily to treat memory loss and dementia associated with aging," said Mark Blumenthal, founder of the nonprofit American Botanical Council. These psychophysiological benefits of ginkgo are 420 Glen Swartwout from regulation of neurotransmitters and neuroprotective effects. Ginkgo also improves microcirculation and has antioxidant effects. Ginkgo extract is effective in helping normal healthy older adults in memory and concentration. [3] References 1. Birks J, Grimley Evans J, Van Dongen M. Ginkgo Biloba for Cognitive Impairment and Dementia (Cochrane Review). In: The Cochrane Library, Issue 4, 2002. Oxford: Update Software. 2. Alzheimers Society (UK) Press Release. October 21, 2002 Alzheimer's Dementia Care and Research. 3. Mix JA, Crews WD. A double-blind, placebo-controlled, randomized trial of Ginkgo biloba extract EGb 761 in a sample of cognitively intact older adults: neuropsychological findings. Human Psychopharmacol Clin Exp 2002;17:267-77. Leptospermus scoparium (New Zealand tea tree) Leptospermus scoparium (manuka myrtle, New Zealand tea tree, or broom teatree) is used with GI issues including gastritis and colitis, respiratory tract issues including sore throats, allergic conjunctivitis, inflammation such as trigeminal neuralgia, apoplexy and ischaemic attack. Okoubaka aubrevillei (Okoubaka) Okoubaka aubrevillei (a giant medicinal tree of the tropical rainforest) is used with food poisoning, intestinal infection, food intolerances and elimination of metabolic wastes. Stevia rebaudiana (Stevia) Stevia, sweet leaf of Paraguay, gives more sweetness, and less sugar. Stevia is a sweet choice for those who want to eat less sugar and are becoming aware of the bitter health effects of both refined sugar and its artificial substitutes. Refined sugars damage the pancreas and cardiovascular system. The escalating American habit of eating over a half pound of refined sugar daily depletes Chromium, a trace mineral crucial for health and longevity. Reduced tissue Chromium levels cut 5 years off life expectancy. Refined sugar also contributes to adult onset diabetes, hypoglycemia, depleting cellular energy and impairing mental performance. One study showed that students' performance dropped several grade levels after drinking Materia Medica soda pop, which contains several teaspoons of sugar per serving. Like the sugar in carbonated beverages, which now outstrip water as the #1 American drink, most of the sugar consumed is hidden in processed and refined foods. Refining of whole foods, such as grains, also removes our dietary source of Chromium needed to process sugar in the body without doing damage. Most species, other than humans and guinea pigs, can actually make Vitamin C out of blood sugar, and are thus able to maintain levels of Vitamin C equivalent to supplementing nearly 10 grams a day for the average person. Some health researchers hypothesize that this is why humans are so susceptible to atherosclerosis and heart disease compared to other species. When an animal eats sugar, some of it is converted to Vitamin C, protecting and repairing any sugar-induced damage to the artery wall. Humans cannot do this. To add insult to injury, we humans process whole foods, often removing protective vitamins and minerals including the methyl donors which include vitamins B6, B12, folic acid, TMG and SAMe. Methyl donors can help protect arteries from damage by homocysteine, a toxic amino acid much more strongly linked to cardiovascular disease than is cholesterol. The sugar substitute industry is spooning out massive quantities of one synthetic product after another in an attempt to provide sweeteners without the detrimental effects of sugar. First came saccharine, which was later found to increase cancer risk. After that, saccharine was quickly removed from the market. Then came the aspartame-based products like Equal and Nutrasweet. The FDA now receives more letters complaining of symtpoms caused by aspartame than any other drug. Aspartame can break down with warmth and moisture, either on the shelf or in the body, forming methanol, which is highly toxic to the liver and brain and can cause blindness. A large percentage of the complaints from aspartame-users include effects on vision. Stevia is indigenous to the rain forests of Brazil and Paraguay and has been used by the native people there as a sweetener. That practice was later adopted by Portuguese and Spanish colonists, and through them Stevia's sweetness became well known throughout the world. During World War II Stevia was cultivated in England as a sugar substitute. Today, Stevia is being grown in Japan, Korea, Thailand and China. Stevia is now most widely used in Japan, where it accounts for more than one-third of the sweetener market (Blumenthal M. FDA rejects AHPA stevia petition, Whole Foods Apr 1994:61-64). At nearly 300 times sweeter than sugar, Stevia tastes very sweet, and this sweetness comes without any of white sugar's side effects (Paul Barney, MD, Doctors Guide to Natural Medicine p.90 1998 Woodland Publishing Pleasant Grove UT). 422 Glen Swartwout As a nutritional supplement, however, Stevia, goes way beyond its taste. Stevia is a source of chromium, calcium, magnesium, potassium, zinc and selenium as well as vitamin C, beta-carotene and thiamin. Independent of its usefulness in decreasing sugar intake, Stevia has been reported to have direct antihyperglycemic properties (Curi R, Alvarez, Bazotte RB, et al. Effect of Stevia rebaudiana and the chrysanthemum flower in the management of hyperglycemia. Diabetes Care 1994; 17:940) and has been used since pre-Columbian times in South America to treat diabetes. Other studies have shown Stevia to dilate blood vessels in animals, enhancing circulation and reducing high blood pressure (Melis MS. A crude extract of Stevia rebaudiana increases the renal plasma flow of normal and rats suffering hypertension in doses higher than normally used as a sweetener. (Braz J Med Biol Res 1996; 29(5): 669-75) In contrast to artificial sweeteners, Stevia has been found by extensive reviews of human and animal data to be a safe dietetic supplement even in cases of severe sugar imbalance (Paul Barney, MD, Doctors Guide to Natural Medicine p.90 1998 Woodland Publishing Pleasant Grove UT). As a botanical remedy, Stevia is reported to be beneficial in: Acne, aging, alcoholism, allergy (anti-histaminic), Alzheimer's disease, Aluminum toxicity, amblyopia, anemia, angina, anorexia, anxiety, arrhythmia, arteriosclerosis, arthritis, asthma, astringent properties Back-ache, bacterial infection, beri-beri, blind spots, bone formation, breast tenderness Cadmium toxicity, Calcium blocker, canker sores, cancer, candidicide, cardiomyopathy, cardioprotective, carpal-tunnel syndrome, cataract, cirrhosis, coeliac disease, cold prevention, colds, colic, convulsions, coronary artery disease, CrohnÕs disease Dandruff, delirium, deodorant effects, depression, dermatitis, detoxification, diabetes, diuretic, dry eye syndrome, dyskinesia, dysmenorrhea, dysphagia Eczema, edema, encephalitis, encephalopathy, epilepsy Fatigue, fever, fistula prevention, fungicidal, furuncle Gastritis, gingivitis, glaucoma, glossitis, glycosuria Hair loss, heart spasms, heartburn, heart protection, heavy metal toxicity, hemorrhage, hepatitis, hepatoprotective, herpes, high blood pressure, high hyperkeratosis, hypertension, hypotension, hypoglycemia cholesterol, hyperactivity, hyperglycemia, Materia Medica Immune stimulation (higher doses may also lower immune response), impotence, infection, infertility, inflammation, insecticide, insomnia, insulin production, interferon (synergistic) Keratitis, Keshan's syndrome Laxative effects, leprosy, leukoplakia, Lead toxicity, liver protection, liver toxicity, low blood pressure, low blood sugar, lung tumor, lupus Mastitis, measles, Meniere's syndrome, menorrhagia, Mercury toxicity, migraine, mucous (mucolytic), muscle pain, muscle relaxant, mutation of DNA, myalgia, myocarditis Nerve pain, neuralgia, neurasthenia, neuritis, neuropathy, neurosis Osteoarthritis, osteoporosis, oxidation (antioxidant), Pain, paraquat toxicity, Parkinson's disease, pellagra, periodontitis, pesticide, phagocytosis, photophobia, plaque, PMS, pneumonia, poliomyelitis, porphyria, prostaglandin-sparing, prostatitis, psoriasis Red blood cell formation, rheumatism, Scotoma, sedative effects, sepsis, seratonin production, shingles, silicosis, skin ulcers, spasms, sperm production, stomatitis, stone formation, stress, sweetener (210 times sweetness of sucrose) Taenia infestation, testosterone, thymus protection, tics, tinnitis, trichomonas, triglycerides elevated, tumor Ulcer, urinary acidifier, uterine relaxation Vaginitis, vasodilation, vermifuge, vertigo, viral infection, vitamin C deficiency Xerophthalmia Here's a sample recipe using Stevia as a dietary supplement in baking: Frosting on Mauna Loa Banana Cake This cake reminds us of a frosting of snow on top of Mauna Loa volcano, which we see after a winter storm. The cake is served warm and fresh from the oven with a chilled frosting on top. 9" x 11" greased pan 424 Glen Swartwout Mix dry ingredients in large bowl (to allow room for wet ingredients to be added later): 2 1/4 cups organic spelt flour 2 1/4 cups organic rice flour 1 tsp baking powder 1 1/2 tsp aluminum-free baking soda Mix wet ingredients: 1 cup soft organic cultured butter 30 drops Starfire Stevia 4 free range chicken eggs, beat in one at a time Mix wet ingredients: 2 tsp alcohol-free Vanilla 4-6 cups thawed frozen ripe organic bananas (apple bananas if you are in Hawai'i) 1/2 cup goat yogurt Add wet ingredients to dry alternating a little of each of the three mixtures above. Pour in greased pan and bake at 350 degrees F for 35 to 45 minutes until a toothpick comes out clean. Mock Whipped Cream Icing, if desired (must be served immediately): 2 packages of drained silken style firm tofu 1/4 cup 100% organic maple syrup (for maple flavor, or substitute 20 drops of Stevia) 2 tsp alcohol-free vanilla 1 cup thawed bananas 1 cup frozen organic raspberries 1 tsp grated organic orange rind (optional) Add Almond milk or Rice milk to achieve desired consistency. Apply cool icing to warm cake and serve immediately. Strophanthus gratus (Climbing Oleander) Strophanthus gratus (Climbing Oleander, or Cream Fruit) supports cardiac function by increasing the systolic phase and lowering the heart rate. For edema, weak heart, brittle blood vessels, pneumonia, exhaustion from post-operative bleeding, uterine bleeding and pain associated with menopause. Tabebuia avellanidae (Pau D'Arco) Phase 3: Regenerate the Digestive System Tabebuia avellanidae (Taheebo, Lapacho, or Pau D'Arco) bark has been used for centuries by the native peoples of South America and more recently it is accepted in the medical practices of that region. It is used in hospitals against cancer and leukemia. It also helps: fight candida and other fungal infections fight viruses and bacterial infection build the nourishing properties of the blood Materia Medica This product is sustainably harvested from the jungles of Brazil. Every batch should be independently tested for purity to ensure no contamination by Agent Orange, used to defoliate and found in some sources of Pau D'Arco. Usnea barbata (Beard Moss lichen) Usnea barbata (Beard Moss lichen) has antibiotic, antifungal and antiviral properties and is used with head issues, congestive headaches, migraines and sunstroke. Ustilago zeae e sporibus rec (Corn silk) Ustilago zeae e sporibus rec (corn silk) is used with uterus issues including hemorrhage, dysmenorrhea, metrorrhagia, headaches and menopausal symptoms. Phytotherapy Materia Medica Abies (Fir tree) Chronic pharyngitis with thick tenacious mucus. Chronic bronchitis with profuse secretions. Heartburn with vomiting, diarrhea, stomach pain. Prolapse of rectal mucosa. Asthenia with poor digestion, vascular weakness, pale mucosa. Acacia (Thorntree, Whistling Thorn or Wattle) Topical eyewash for bloodshot eyes, conjunctivitis. Laryngitis. As a gargle in acute pharyngitis. Acute gastritis. 426 Glen Swartwout Achillea millefolium (Yarrow) Epistaxis. General hemorrhage (fresh plant). Hematuria with pain on urination. Muscular pain, as a poultice or fomentation. Varicosities during pregnancy (fresh plant poultice). Aconitum carmichaeli (Fu-Tse, Chinese Cured Root Slices; Chinese Aconite, Carmichael's Monkshood or Chinese Wolfsbane) Extrinsic asthma with dry spastic cough. Emphysema with dry labored breathing, sallow skin. Adrenal medulla depressed from stimulant withdrawal, "exhausted". Urticaria. Aconitum ("the queen of poisons", Aconite, Monkshood, Wolf's Bane, Leopard's Bane, Women's Bane, Devil's Helmet or Blue Rocket) Broad pale tongue with deficient GI, CVS, CNS, or yellow coated with fever and diarrhea. Chronic tonsillitis with ulcers, brushed on tonsils for pain. Trigeminal neuralgia. Cholecystitis - "catarrhal". Acute vulvitis, with fever. Fever, with flushed face, bloodshot eyes, agitation, bounding pulse, suppressed sweating, mucus inflammations. Mumps, acute (2 parts Phytolacca to 1 part Aconitum, in small frequent doses; also as a topical lotion 3 parts Echinacea to 1 part Aconitum). Hysteria with great sensitivity to stimulus. Pain, general, in the sthenic, with sharp pain, generally increasing. Pain in serous membranes, with fever, skin sensitivity. Acorus calamus (Sweet Flag or Calamus) Anorexia nervosa, in stressed adolescents. Anorexia from chemotherapy. Materia Medica Flatulent colic. Gastric colic with flatulence. Dyspepsia with flatulence from overeating and digestive abuse. Atonic dyspepsia. Flatulence with inflammation. Cancer, supportive in upper GI neoplasias. Anorexia from cancer therapy. Actaea spicata (Baneberry, Eurasian Baneberry, or Herb Christopher), A. rubra (Red Baneberry, Chinaberry, Doll's Eye), A. arguta (Red Baneberry) Anorexia nervosa with chronic simple pelvic irritabilities. Acute gastritis with uterine reflex. Muscular pain, dull, aching, "rheumatoid". Rheumatic pains, acute inflammatory. Uterus, atony, with dull aching. Apathy with pale face, depression, atonic digestion. Headache, reflex uterine. Aesculus (Horsechestnut, Buckeye) Acute spasmodic cough with bronchial tightness and dyspnea. Functional dyspnea with bronchial tightness, spasmodic cough. Varicose veins, legs, inner thighs. Venous stasis in pelvis and legs, with dyspepsia and general GI hypofunction, rectal heaviness. Hemorrhoids, in athletic, strong individuals. Agar (Agar Agar, a red algae) Constipation, dry feces with scanty secretions. Agave (Agave) Constipation with poor appetite. Rheumatoid arthritis. Agnus-castus: See Vitex agnus-castus. 428 Glen Swartwout Agrimonia (Agrimony) Cystorrhea, in general, or chronic smelly. Acute cystitis/urethritis with cloudy, smelly urine. Incontinence, general; or from chronic nephritis or acute lower urinary tract infections. Lithiasis, with irritation, inflammatory pain. Pain in lumbar region, flanks to navel. Agropyron repens (Couch Grass, Quackgrass) Chronic renal weakness with inflammation. Cystorrhea, acute with urethral discharge. Cystitis, urethritis, for pain. Cystitis, urethritis, with mucus in urine, backache, cramps; or with pain from gravel and alkaline, phosphatic urine. Acute dysuria with pain in back, difficult urination. Deep seated kidney pain accompanying primary treatment for nephritis. Hematuria with pain on urination. Ureteralgia. Sacral and lower lumbar pain with urethral mucus discharge. Phosphaturia with pain in kidneys. Chronic pyelitis, with colic. Acute prostatitis, with irritable bladder, dribbling. Subacute prostatitis, enlarged, without inflammation. Aletris farinosa (White Colicroot, Stargrass, Blazing Star, Mealy Starwort, Starwort Unicorn Root, True Unicorn Root, Unicornplant, Unicorn's-horn, Colicroot, Devil's-bit, Ague Grass, Ague Root, Aloeroot, Crow Corn, Huskwort) Dyspepsia with flatulence, slow transit time, borborygmus. Allium sativa (Garlic) Extrinsic asthma with dry spastic cough. Essential hypertension. Materia Medica Blood serum levels: cholesterol elevations. Blood serum levels: hyperlipidemia, in general. Alnus incana (Grey Alder or Speckled Alder) Chronic gastritis with poor HCl, extended transit time. Eczema, pustular with boil cycles. Poison ivy/oak (topically). Aloe (Aloe Vera) Atonic colon with mucus in feces, difficult defecation, but without inflammation or fissures. Amenorrhea with constipation. Althea officinalis (Marshmallow, Marsh Mallow, or Common Marshmallow) Dryness of mouth and throat. Subacute head cold with hoarseness or laryngitis. As a gargle in acute pharyngitis. Laryngitis. Acute cough with faucial irritability. Cystitis, urethritis, for pain. Acute cystitis/urethritis in general. Acute dysuria, initial stages. Lithiasis, with irritation, inflammatory pain. Nephritis in general. Strangury, in general. Dysentery with blood (as an enema). Hemorrhoids, painful, extruding (as a poultice). Powdered root as a base for a stimulating poultice for abscesses, moistened with one of the following tinctures: Astragalus, Baptisia, Echinacea, Thuja, or Zingiber. Emollient for skin. Acute vaginitis (douche). 430 Glen Swartwout Cystitis/urethritis in infants. To stimulate innate immunity. Ambrosia (Ragweed, Bitterweed, Bloodweed) Otitis media from allergies, rhinitis. Epistaxis. Acute allergic rhinitis. Acute sinusitis with runny eyes, nose. Septic diarrhea. In children, eye and nose pain, sharp itching pain, hay fever. Hay fever with watery eyes, nasal membranes. Ammi visnaga (Khella, Bisnaga, or Toothpickweed) General bronchodilator for long-term use in asthma; asthma with sleep apnea. Amygdalus persica (Peach) Chronic gastritis with abdominal tenderness. Morning sickness (cold infusion). Vomiting in children, with green diarrhea (as a cold infusion). Anemone patens (Pulsatilla, Eastern Pasqueflower, Prairie Smoke, Prairie Crocus, or Cutleaf Anemone) Increased intraocular pressure; lachrymitis; glaucoma in aged or tired; viral iritis; full-blown styes on lids; ophthalmalgia; eyestrain w/orbital pain; conjunctivitis, watery and inflamed w/grainy vision. Tongue white coated with nausea, or creamy white with taste of rancid fats. Otitis media; tinnitus. Dry cough, hectic, with mucus vomiting, gagging, no overt disease. Delirium tremens in asthenics. To prevent anxieties when insomnia is feared. Incontinence fr/chronic nephritis or acute lower urinary tract infections. Amenorrhea with depressions. Dysmenorrhea, with depressions and lengthy history of PMS. Impotence/frigidity, from constant anxiety and depression regarding sexuality with fear of no arousal, lubrication or erection. Materia Medica Leukorrhea, hypersecretory, milky, little smell. Orchitis/epididymitis, with red, enlarged & painful testicles, no major pathology. Lactation, suppressed from nervousness, mild sympathetic excess, with painful, swollen breasts. Depression with nervous irritation. Hysteria, in depressive states. Headache, migraine, vasodilator. Anemopsis californica (Yerba Mansa or Lizard Tail) Acute early stages of herpes, topically. Subacute head cold with thick mucus. Acute pharyngitis, returning after almost healing. Chronic pharyngitis with pale, relaxed mucosa. Chronic or subacute rhinitis. Acute sinusitis with ulcerations (as a nasal spray). Chronic sinusitis with inflammation, catarrh, stuffy heat. Chronic sinusitis with edematous turbinates, relaxed and purplish; or with thick ropy mucous, frontal headache. Chronic tonsillitis with ulcers (also as a gargle). Intrinsic humid asthma with moist cough. Chronic bronchitis with profuse secretions. Acute cough, moist, persistent. Cystorrhea. Acute cystitis/urethritis with mucus in urine; or with inflamed urethral opening. Chronic anorexia with colon, rectal catarrh. Chronic colic with catarrh. Recuperating from diarrhea. Dysentery, for concurrent mouth sores. Acute gastritis with catarrh. Acute gastritis, recuperation. Gastroenteritis with mucus hypersecretions. Gastroenteritis, recuperation. Hemorrhoids, painful, extruding. Hemorrhoids, painful, extruding w/constant throbbing pain (internal and external) 432 Glen Swartwout Nausea after eating. Shigellosis, recuperative period. Gastric or duodenal ulcers, slow healing. Subacute or chronic ulcers with vomiting or spitting of ropy mucus. Vomiting, in general. Abscess, acute, local (topically). Fissures, general orificial (external). Rectal fissures (sitz bath). Anal fissures (sitz bath: 8 fl oz strong decoction in bath at a time). Skin ulcers, in general (external). Topical in arthritis. As a bath for arthritis. Arthritis, diuretic. Anti-inflammatory in arthritis. Muscular pain, in general. Leukorrhea, supportive to local itching and pain (with Larrea as a sitz bath). Acute prostatitis, with discharge and inflammation. Acute vaginitis (sitz bath). Subacute vaginitis, or with Bartholin gland cysts (as sitz baths). Subacute vulvitis (as a sitz bath). Infant teething, with cold sores or stomatitis (rubbed on gums). Nutritional malabsorption in poor absorption in ileum of bile acids, fat soluble vitamins, intrinsic factor or B12. Angelica (Garden Angelica, Holy Ghost, Wild Celery or Norwegian angelica) Psychogenic asthma. Flatulent colic. Gastric colic with flatulence. Flatulence with inflammation. Angelica dawsonii: see Thapsium aureum. Angelica sinensis (Dong Quai, Female Ginseng) Materia Medica Asthenic hypotension with dry skin and frequent blushing. Multiple sclerosis in young women. Poor availability or hyposecretion of primary hormones in either sex. Incontinence from recent sexual activity in sedentary, previous abstentious males. Eczema, with chronic poor fat digestion, dry skin. Amenorrhea with mood swings and simple hypofunction in asthenic women. Cervicitis with congestion and poor venous circulation. Dysmenorrhea, with congestion, lengthy cycles (30 days or more). Endometritis/metritis, in general. Hydrocele (with Ceanothus). Leukorrhea, viscous, fetid. Menarche delay (primary amenorrhea), in general. Menopause, basic initial treatment. Menopause, with early osteoporosis symptoms (as a tea with Equisetum and Medicago sativa). "Surgical menopause" after 35 years of age, as a possible alternative to hormone replacement therapy (with Glycyrrhiza). Menorrhagia, as a general preventative. Orchitis/epididymitis, chronic in aged. Premenstrual syndrome (PMS), initial approach; or chronic, but with complete cycle always more than 28 days long. Subacute/chronic prostatitis, enlarged with dull ache in older males. Infertility (taken for 4-5 consecutive days a month, starting just before ovulation). Infertility, with depressed testosterone, low sperm count. Uterus, atony. Malnutrition w/anemia, dyspepsia, anorexia, poor assimilation, functional pelvic irritability. Anisum (Pimpinella anisum, Anise, Aniseed) Colic in infants, with flatulence. Anthemis nobilis (Chamomile, Roman Chamomile, English Chamomile, Garden Chamomile, Ground Apple, Low Chamomile, or Whig Plant) Flatulent colic. Cradle cap (externally). 434 Glen Swartwout Apocynum (Dogbane, or Indian Hemp) Cardiovascular edema with weak circulation debility, or with functional cardiac insufficiency. Hypotension with water retention and edema. Tricuspid regurgitation. Alopecia (externally). Aralia californica (Elk Clover) Adrenal cortex hypofunctions. Blood serum levels: hyperlipidemia, in general. Aralia hispida (Bristly Sarsaparilla) Cardiovascular edema with constipation. Adrenal cortex hypofunctions. Blood serum levels: hyperlipidemia, in general. Aralia humilis (Arizona Spikenard) Adrenal cortex hypofunctions. Blood serum levels: hyperlipidemia, in general. Aralia nudicaulis (Wild Sarsaparilla, False Sarsaparilla, Shot Bush, Small Spikenard, Wild Liquorice, or Rabbit Root) Adrenal cortex hypofunctions. Blood serum levels: hyperlipidemia, in general. Aralia racemosa (American Spikenard, Life-of-Man, Petty Morel) Chronic laryngitis with excess, abundant mucus. Chronic pharyngitis with thick tenacious mucus. Chronic bronchitis with profuse secretions and debility. Acute cough with faucial irritability, wheezing, dry mucus. Influenza. Adrenal cortex hypofunctions. Materia Medica Primipara, with irritability, distress last trimester. Thin, subanemic blood with hypersensitivities. Arctium (Burdock) Chronic aphthous stomatitis. Chronic herpes. Lipid lowering in arteriosclerosis. Adrenal cortex hyperfunctions from stress, with elevated lipids, uric acid, blood sugars with stomach hypersecretions. Hepatitis - general strengthening. Lithiasis with hyperuricemia. Acne without intestinal involvement (for long-term use). Eczema, in general (long term). Eczema, endogenous, metabolic. Chronic psoriasis, no major intestinal involvements. Skin ulcers, chronic, indolent, with impaired circulation (long term). Suppuration with pyogenic membrane (external). Gout, for the hyperuricemia. Uterus, prolapse. Blood serum levels: cholesterol elevations. Blood serum levels: hyperlipidemia, in general. Blood serum levels: uric acid elevation. Blood serum levels: acidosis, subclinical. Arctostaphylos uva-ursi (Kinnikinnick, Pinemat Manzanita, Bearberry, or Mountain Cranberry) Cystorrhea. Acute or chronic cystitis/urethritis with relaxed, inflamed urethral opening and mucus discharge. Chronic acidic dysuria with mucopurulent, scanty urine. Renal glycosuria. Lithiasis, acidic, muddy, or with "brick dust" (with Buchu). Subacute nephritis, mild, with moderate hematuria. Acute pyelitis from ascending cystitis with boggy mucosa. Strangury, in general. 436 Glen Swartwout Ureteralgia. Subacute/chronic prostatitis, with mucopurulent and acidic urine. Acute vaginitis (sitz bath). Post-partum hemorrhage, with tearing or episiotomy (as a sitz bath). Argemone (Prickly Poppy) Acute cystitis/urethritis with irritability, more than pain. Arisaema (Jack-in-the-Pulpit, Bog Onion, Brown Dragon, Indian Turnip, Wake Robin, or Wild Turnip) Laryngitis from singing or talking. Sore, bruised feeling in bronchi. Aristolochia serpentaria (Virginia Snakeroot, Black Snakeroot) Hypotension with water retention and edema. Arteriosclerosis with confusion, sluggishness in aged, aggravated by chilling. Delirium tremens in asthenics. Phosphaturia aggravated by cold damp weather or present only in winter. Polyuria during or after cold weather. Anorexia nervosa in the feeble, asthenic. Chronic constipation with poor fat absorption, sluggish portal circulation. Dry, hot skin. Dry eczema. Amenorrhea, from recent viral infection or from exposure to cold or accompanying chronic, debilitating disease. Dysmenorrhea with poor appetite, indigestion, old sensations and constipation. Impotence/frigidity, with depressed circulation and intestinal function; or from emotional distraction and cooling of skin during love-making. Labor, with great sense of coldness. Blood serum levels: LDL, VLDL elevated. Periodic fever, in evenings with moist skin, unresolved sweating. Nutritional malabsorption w/steatorrhea, no cecal inflammation, dark feces with bad breath, subcutaneous pre-acne eruptions. Nutritional malabsorption in conjunction with lipotropic therapies. Materia Medica Asthenia - real chill aggravating chronic disorders, hypersensitive skin in thoracic and lumbar dermatomes. Apathy aggravated by cold, with hypersensitive thoracic dermatomes. Aristolochia watsoni (Watson's Dutchman's Pipe, or Southwestern Pipevine) Broad, thick tongue. Dyspnea induced by external chill. Cardiovascular edema with weak circulation debility. Anorexia nervosa in the feeble, asthenic. Chronic constipation with poor fat absorption, sluggish portal circulation. Chronic gastritis with liver weakness, poor portal circulation. Dry eczema. Asthenia with poor digestion, vascular weakness, pale mucosa. Amenorrhea, from recent viral infection; or accompanying chronic, debilitating disease. Dysmenorrhea with poor appetite, indigestion, old sensations and constipation. Impotence/frigidity with depressed circulation and intestinal function. Nutritional malabsorption with steatorrhea but no cecal inflammation, dark feces with bad breath, subcutaneous pre-acne eruptions. Nutritional malabsorption in conjunction with lipotropic therapies. To stimulate innate immunity. Arnica (Leopard's Bane, Wolf's Bane, Mountain Tobacco, or Mountain Arnica,) Topical in arthritis. Bruises (topical). Muscular pain from strain and overexertion; strains; (externally). As a gargle with Hamamelis for obstinate sore throat. Artemesia absinthium (Absinthium, Absinthe Wormwood, Wormwood, Common Wormwood, Green Ginger, or Grand Wormwood) Pinworms, preventative or recuperation. Artemesia acetum tincture (vinegar extract) 438 Glen Swartwout Bruises (topical). Strains; (externally). Artemesia vulgaris (Mugwort, or Common Wormwood) Pinworms, preventative or recuperation. Arum dracontium: see Dracontium. Asafetida (Devil's Dung, Stinking Gum, Asant, Food of the Gods, Giant Fennel, Jowani Badian, Heeng, or Ting) Gastroenteritis with flatulence and palpitations. Impotence/frigidity with depressed circulation and intestinal function. Asarum caudatum (British Columbia Wild Ginger, Western Wild Ginger, or Long-tailed Wild Ginger) Lachrymitis. Onset of head cold, dry with fever. Chronic cough with debility. Flatulent colic. Atonic dyspepsia. Dry, hot skin. Amenorrhea; simple, crampy; from recent viral infection, or from exposure to cold. Colic in infants, with flatulence. Measles. Fever in infants, suppressed sweating. Fever, dry, hot, interrupted diaphoresis. Asclepias asperula (Antelope Horns, Green-flowered Milkweed, and Spider Antelope Horns) Subacute or chronic sinusitis with green viscous mucous (as insufflated powder). Dry non-spasmodic asthma. Acute hot dry bronchitis. Acute cough or dyspnea after pneumonia with difficult expectoration. Influenza, dry, hot, asecretory. Acute pleurisy, pleurodynia. Cardiovascular edema with functional cardiac insufficiency. Materia Medica Cardiovascular hypertrophy in aged. Chronic rheumatic pains with dry cough,chronic indigestion, intercostal neuralgia. Amenorrhea; from recent viral infection. Labor, arrested. Uterine subinvolution, with poor drainage. Asclepias incarnata (Swamp Milkweed, Rose Milkweed, Swamp Silkweed, or White Indian Hemp) Cardiovascular edema with functional cardiac insufficiency. Chronic rheumatic pains with dry cough, chronic indigestion, intercostal neuralgia. Amenorrhea; from recent viral infection. Asclepias tuberosa (Butterfly Weed) Dry non-spasmodic asthma. Acute hot dry bronchitis. Acute dry pulmonary cough. Chronic dry cough with indigestion, intercostal pain when inhaling. Influenza, dry, hot, asecretory. Acute interlobar pleurisy, pleurodynia. Acute bronchial pneumonia with vascular disturbance, fever; or recuperating with difficult expectoration, dry, tough. Hyperemia. Hypertension with strong pulse. Chronic anorexia with depressed autonomic and myenteric stimulation. Atonic colon without inflammation but marbly hard feces. Dry, hot skin. Eczema, obstinate, not reactive to any measures, with short "honeymoon". Chronic rheumatic pains with dry cough,chronic indigestion, intercostal neuralgia. Amenorrhea; from recent viral infection. Fever in infants, suppressed sweating, with dry bronchitis, moist skin. Digestive headache in children. Pain in serous membranes, with dry skin. Aspidium (Fern Holly, Japanese Holly, Fish Tail) 440 Glen Swartwout Tapeworms. Aspidospermia (Quebracho Blanco) Functional dyspnea with pale face, palpitations. Emphysema with poor pulmonary circulation. Acute influenza with coughing, dyspnea. Astragalus membranaceus (Huang qi) Acute cystitis/urethritis with systemic infections, fever. Septic diarrhea. Peritonitis, post-operative with lingering autotoxicity. Abscess, as a moistening agent in a stimulating poultice with Althea powder as a base. Septicemia with ulceration, decay, swollen tissue. To stimulate innate immunity. Extended immunosuppression, with congestion, edema (with Echinacea). Lymphangitis, acute in weak individuals (with Echinacea). Lymphadenitis, in chronic debility (with Ceanothus). Avena (Oat) Angina pectoris, as an adjunct for fear of death, constant guarding against pain. Functional neurocirculatory disorders. To prevent anxieties when insomnia is feared. General insomnia in sthenic individuals. Narcolepsy. Menopause, with sense of pressure and pain in ovaries, uterus, sacrum, bladder with nervousness and sense of confusion; or with melancholia after hot flashes. Premenstrual syndrome (PMS), with easily startled disposition, easy adrenergic discharge, jumpy. Appetite poor, nervous, weak (with Trifolium). Hysteria with adrenergic-induced exhaustion. Baptisia (False Indigo, Wild Indigo) Tongue full & deeply red with systemic infection; foul breath with cracked lips and phlegmy mouth. Inflamed gums from general immunosuppression. Materia Medica Purulent laryngitis with systemic effects. Chronic sinusitis with necrotic, foul discharge. Chronic tonsillitis with necrosis. Cardiovascular edema with vascular stasis and sepsis. Septic diarrhea. Bacillary dysentery with suppurations (with Echinacea). Shigellosis, supportive to primary therapy (with Echinacea). Abscess, with septicemia, swellings (with Echinacea). Abscess, as a moistening agent for stimulating poultice w/Althea pwd. as a base. Skin ulcers with septicemia, edema, fever (with Echinacea). Suppuration with necrosis, in weak individuals (w/ Echinacea, externally). Endometritis/metritis, with fever (with Echinacea). Septicemia with ulceration, decay, swollen tissue; or w/weak immunologic vitality. Endogenous infections, in feeble individuals (with Echinacea and Phytolacca). Septic fevers (with Echinacea). To stimulate innate immunity. Extended immunosuppression, with congestion, edema (with Echinacea). Lymphadenitis, in chronic debility (with Ceanothus). Barosma betulina: see Buchu. Benzoin (Balsam resin) Chronic dry unproductive bronchial cough. Decubitus, preventative (external). Berberis vulgaris (European Barberry, Common Barberry) As an eyewash for acute ophthalmia. Aphthous stomatitis (as a wash and internally). As a mouthwash for bleeding gums. Acute biliousness from food or drug excess. Jaundice, general recuperative. A preventative for alkaline, phosphatic stones. Recuperating from diarrhea. 442 Glen Swartwout Dyspepsia from fats. Eczema, facilitating any external measures. Acute episodic psoriasis. Blood dyscrasias, with scaly skin eruptions, impaired nutrition. Allergies, in general. Nutritional malabsorption in poor protein absorption. Bidens (Beggarticks, Black Jack, Burr Marigolds, Cobbler's Pegs, Spanish Needles, Stickseeds, Tickseeds, or Tickseed Sunflowers) Hemoptysis from fits of coughing. Brickellia (Brickellbush) Cholangitis, general antispasmodic. Cholecystitis - "catarrhal"; and for pain. Glycosuria from hepatic hyperglycogenolysis or diet. As a bath in arthritis. Premenstrual syndrome (PMS), w/craving for sugar, fruit, carbo-junk food. Diabetes/hyperglycemia - functional hypergluconeogenesis. Diabetes/hyperglycemia - functional hyperglycemia, especially before meals (as a bitter shortly before eating). Adult onset, insulin resistant diabetes. Bryonia (Bryony) Rheumatoid iritis; pain in eyes secondary to any acute disorder; "hurts to move". Tongue dry, cracked, purplish-grey; translucent coat with liver pain. Bronchitis with scanty, blood-streaked mucus. Dry cough, hectic, aggravated by changes in temperature and humidity. Influenza with harsh hacking irritated cough with scanty blood-streaked mucus. Acute pleurisy with rapid perspiration, pain on movement, flushed face, frontal headache. Acute bronchial pneumonia with harsh cough, pain. Neuralgia, aggravated by movement, with asthenia. Cholecystitis - "catarrhal". Materia Medica Hepatitis - with Jaundice, headache, orange-colored urine. Peritonitis, post-operative. Aseptic synovitis. Orchitis/epididymitis, with tenderness upon pressure. Acute mastitis, with swollen lymphatics, marked inflammation. Endogenous infections, with serous membrane involvement. Fever, delirium, asecretory with nervous depression. Apathy, tired, weary with confusion. Headache, cervical-occipital, with confusion, aggravated by movement. Pain in serous membranes, with excessive perspiration. Buchu (Agathosma, Buchu, Boegoe, Bucco, Bookoo, or Diosma) Chronic cystorrhea with acid pH. Acute or chronic cystitis/urethritis with acid pH, frequent urination, little relief. Chronic pyelitis with mucopurulent, acidic urine. Subacute/chronic prostatitis, with mucopurulent and acidic urine. Chronic acidic dysuria, also for pain therefrom. Lithiasis, acidic, muddy, or with "brick dust" (with Uva Ursi). Bursera (Gumbo-limbo, Frankincense, Myrrh) Acute periodontitis, topically. Acute early stages of herpes, topically. Acute sinusitis with ulcerations (as a nasal spray). Bronchorrhea. Chronic cystitis/urethritis without active inflammation. Ulcers, subacute or chronic, not inflamed but congested. Decubitus, recuperative (externally) Herpes simplex, to speed regeneration (externally). Skin ulcers on oily, moist surfaces (externally). Endogenous infections, with depressed WBC. To stimulate innate immunity. Cacalia (Arnoglossum, Plantain) 444 Glen Swartwout As a bath in arthritis. Adult onset, insulin resistant diabetes (as early treatment). Calendula (Marigold) Vasoneurosis of skin and mucosa. Abscess, acute, local (topically). Abscess, to stimulate granulation (topically). Decubitus, simple, uncomplicated (externally). Fissures, general orificial (external). Herpes simplex, with secondary bacterial infection. Skin ulcers, in general (external). Suppuration without pyogenic membrane, shallow (external). Cervicitis with ulceration (as douche, with Echinacea tincture and glycerine (1:4 ratio) as night-time suppository). Cannabis sativa (Hemp) Pain in eyeballs, increased intraocular pressure. Acute spasmodic cough with paroxysms, intestinal and uterine reflex. Frequent waking with nightmares. Neuralgia with spasms or tenesmus. Cystitis, urethritis, for pain. Chronic acidic dysuria, for pain. Acute cystitis/urethritis with irritability, more than pain. Phosphaturia with vesical irritation. Antispasmodic strangury. Anorexia from chemotherapy. Pruritus senilis, with itching. Muscular pain, in general. Endometritis/metritis, antispasmodic. Cough in infants, with spasms. Fever, delirium, frequent fitful waking. Anorexia from cancer therapy. Materia Medica Anorexia nervosa, mild, in adolescence; or iatrogenic from drugs. Depression with painful, spasmodic diseases. Capsella bursa-pastoris (Shepherd's Purse) Epistaxis. Passive capillary hemorrhage. Chronic cystitis or urethritis with brick (urate) dust, scanty urine. Chronic cystitis/urethritis with dark or mucopurulent urine, strained urination. Dysuria from heavy sexual activity. Hematuria, in general or with sediment in urine. Lithiasis, with irritation, inflammatory pain; or with hematuria, especially from lower tract; or with hyperuricemia. Phosphaturia with vesical irritation. Mild GI hemorrhage, acute, with sharp pain. Hemorrhoids, bleeding. Bleeding ulcers. Arthritis, diuretic. Gout, for the hyperuricemia. Menorrhagia, with heavy bleeding for the first several days. Vicarious menses. Post-partum hemorrhage, with good uterine tone. Miscarriage, impending, with moderate spotting as main symptom. Blood serum levels: uric acid elevation. Capsicum frutescens (Chili Pepper) Tongue dry, scanty saliva. Dry mouth, with poor digestion. Onset of head cold, dry with tight membranes. Dry laryngitis. Acute early stage tonsillitis with dry membranes (also as a gargle). Dry cough, hectic, with dry mouth. Influenza, dry, hot, asecretory (combine with Lobelia). Acute pleurisy (as a plaster). 446 Glen Swartwout Arteriosclerosis with confusion, sluggishness in aged. Delirium tremens in asthenics. Intercostal or cervical neuralgia (plaster). Anorexia nervosa, asecretory/achlorhydria. Atonic dyspepsia in alcoholics. Asecretory dyspepsia. Flatulence without active inflammation. Alopecia (externally). Dry, hot skin. Senile asthenia. Chronic rheumatic pains, as a plaster. Uterine fibroids, with cyclic bleeding. Metabolic debility, with poor secretions. Cerebral vasodilator to increase site glucose availability, as opposed to real increase in serum glucose. Carthamus tinctorius (Safflower, False Saffron) Amenorrhea from recent viral infection. Measles. Carum (Caraway) Flatulent colic. Colic in infants, with flatulence. Caryophyllus (Clove Pink, Dianthus) Vomiting, in general. Castela emoryi (Crucifixion Thorn) Anorexia nervosa in the feeble, asthenic; after GI infections. Candidiasis, after antibiotic or anti- inflammatory therapy. Colitis from candidiasis. Amebic diarrhea, as a preventative. Giardia. Heartburn, with anorexia. Pinworms, threadworms, general treatment (internal and as an enema). Materia Medica Entameba histolytica. Giardia. Caulophyllum (Blue Cohosh) Amenorrhea, chronic, with congestion, irritation. Cervicitis with congestion and poor venous circulation. Dysmenorrhea, with congestion, lengthy cycles (30 days or more). Endometritis/metritis, in general. Menopause, with pains and pelvic discomfort, referred down legs, no pathology; or with sense of pressure and pain in ovaries, uterus, sacrum, bladder with nervousness and sense of confusion. Endometritis, chronic, reoccurring, with inflammatory episodes. Uterus, inflammation. Acute vaginitis (internally). Labor, delayed, from fatigue, weak uterus with history of inflammation. Ceanothus (Red Root, New Jersey Tea, California Lilac) As a gargle in acute pharyngitis. Tonsillitis. Fibrocystic breast disease (with the elimination of all caffeine, theobromine and theophylline in diet). Hydrocele (with Angelica sinensis). Acute mastitis (w/Gossypium internally, Phytolacca externally). Thick, frontal headaches after meals. Blood, chronic slow coagulation without hemopathy. Lymphadenitis in chronic debility (w/Astragalus or Baptisia); or cervical, facial. Mononucleosis, with widespread and inflamed nodes. Mononucleosis, general supportive. Splenitis, subacute, chronic or secondary to hepatitis. Ceanthus flowers (Red Root, New Jersey Tea, California Lilac) Hair tonic. Centella asiatica (Gotu Kola) 448 Glen Swartwout Thyroid hypofunction with depression, dry skin. Blood serum levels: T4 low. Cereus grandiflorus (Nightblooming Cereus, Dragonfruit, Queen of the Night, Large-flowered Cactus, SweetScented Cactus, or Vanilla Cactus) Tinnitus with nervous tachycardia. Functional dyspnea with pale face, palpitations, cardiopathies, neurosis, fear. Emphysema with poor pulmonary circulation. Cereus greggii (Arizona Queen of the Night, Nightblooming Cereus) Tobacco heart; functional neurocirculatory disorders with depression, hypochondriasis, necrophobia. Palpitations and arrhythmias with agitation, neurotic (with Cypripedium). Mitral regurgitation. Nausea from motion sickness, excitation. Menopause, with cardiac arrhythmias. Cetraria (Iceland Moss) Hyperaemia with rhinitis, frontal headache, sneezing. Chamaelirium luteum (Helonias, Fairywand) Amenorrhea with anemia (used with an astringent douche). Dysmenorrhea, sensations of distention and congestion in uterus and rectum. Leukorrhea, viscous, fetid. Prolapse or atony of the uterus. Miscarriage, impending, with nervous irritability and cramps. Malnutrition w/anemia, dyspepsia, anorexia, poor assimilation, functional pelvic irritability. Chelidonium (Greater Celandine, European Tetterwort) Tongue pale, sallow, full, with slightly jaundiced skin; dull leaden coat. Acute bronchial pneumonia, primarily right lung. Cholangitis -light stools,cloudy or dark urine, pain in right hypochondrium to shoulder. Cholelithiasis, recurring without blockage. Cholecystitis - chronic with blockage. Materia Medica Biliary cirrhosis. Jaundice, post-hepatic, cholestatic. Hemorrhoids, subacute, from recent liver or portal congestion. Chelone (Turtlehead) Jaundice - mild, with simple unobstructed hepatic dysfunction. Anorexia nervosa, convalescence with ileocecal cramps. Colic in cecum with uneasy, distressing pain. Colitis from intestinal putrefaction and liver or portal dysfunction. Dyspepsia with sluggish liver and portal circulation. Chenopodium ambrosoides (Epazote, Wormseed, Jesuit's Tea, Mexican Tea, Paico, or Herba Sancti Mariae) Worms, ascaris. Chilopsis (Desert Willow) Candidiasis, after antibiotic or anti- inflammatory therapy. Leukorrhea, viscous, fetid (as douche). Chimaphila (Wintergreen, Pipsissewa, or Prince's pine) Renal albuminuria, subacute, early, or incipient. Chronic cystitis or urethritis with brick (urate) dust, scanty urine. Chronic acidic dysuria with mucopurulent, scanty urine. Nephritis with edema and arthritis or autoimmune-type symptoms (fresh tincture). Chronic pyelitis with mucopurulent alkaline urine. Acute pyelitis from ascending cystitis with boggy mucosa. Pyelitis with mucopurulent urine with RBC's and leukocytes. Chionanthus (Fringetree) Cholangitis with light stools, cloudy or dark urine, steatorrhea, pain in right hypochondrium to navel. Cholecystitis - "catarrhal"; with occasional jaundice. Cholelithiasis, preventative. Alcoholic cirrhosis with portal congestion. 450 Glen Swartwout Hepatitis with Jaundice, light frothy stool, scanty urine, right hypochondrium pain. Functional Jaundice. Glycosuria from hepatic hyperglycogenolysis or diet. Hemorrhoids, from any venosities, especially with leg or cervical varicosities. Steatorrhea, from overindulgence in fats. Blood serum levels:SGOT, SGPT elevations with elevated bilirubin, no active hepatitis. Headache, in digestive dysfunction, following meals. Chlorogalum (Soap Plant, Soaproot, or Amole) Tinea barbae, tinea capitatis. Chrysanthemum leucanthemum (Oxeye Daisy) Post-febrile, excessive sweating, malaise, frequent dilute urine. Chrysanthemum parthenium (Tanacetum, Feverfew) Headache, migraines, to prevent in anabolic-dominant types. Cimicifuga racemosa (Actaea racemosa, Black Cohosh, Black Bugbane, Black Snakeroot, Fairy Candle) Rheumatoid iritis; ophthalmalgia with dull rheumatoid ache in orbits; eyestrain with bruised pain and headache. Ear pain from cold; dull aching rheumatic pain in middle ear. Influenza with malaise and aches. Sore, bruised feeling in bronchi. Periodic convulsions associated with uterine disorders. Delirium tremens in sthenics. Epilepsy, petit mal with chorea or agitation. Insomnia with muscular pain, agitation, "rheumatoid". Cervical neuralgia. Anorexia nervosa with chronic simple pelvic irritabilities. Muscular pain, dull, aching, "rheumatoid"; or from change of weather. Rheumatic pains with heavy, aching, deep pains; or acute inflammatory. Sprains with dull muscle ache. Tendonitis, deep aching dull pain with muscle involvement. Materia Medica Amenorrhea, with irritation, pelvic and lumbar pain; or chronic, with congestion, irritation. Dysmenorrhea with congested uterus and pain on walking or climbing stairs. Menarche delay (primary amenorrhea), in general. Menopause, with congested uterus and pain on walking, dancing, jiggling. Menorrhagia with diarrhea or colon cramping. Mittelschmerz with diarrhea or colon cramping. Orchitis/epididymitis, with venous congestion, heaviness. Subacute/chronic prostatitis, with pelvic and sacral pain. Uterus, atony, with dull aching. Uterus, prolapse. Chronic vaginitis with large dragging uterus, painful with movement. Labor, false or Braxton-Hicks pains; or with feeble, erratic contractions. Lactation, excessive reflex pain. Primipara, last 2 to 3 weeks. Uterine subinvolution, with dull ache, sense of heaviness. Mumps with muscular aching. Apathy with dull aching in joints, muscles. Cineraria succus (Dusty Miller juice) As an eyewash for cataracts. Cinnamomum (Chinese Cinnamon, Chinese Cassia) Tonsillitis pain (as a tea). Chronic mild hemoptysis, from morning coughing. General hemorrhage. Mild GI hemorrhage, subacute or chronic, with ache or no pain. Bleeding ulcers. Post-partum hemorrhage, passive from lack of contraction. Clematis (Buttercup) Headache, migraine, vasodilator. Headache, migraine-like, in temples, with moisture on back of neck. 452 Glen Swartwout Coffea (Coffee) Vomiting, in general. Headache, reflex uterine, with throbbing head, cerebral hyperemia; or with red face, corners of eyes inflamed. Cola (Kola Tree, Kola Nut) Cardiovascular hypotension, asthenic with palpitations and dyspnea. Dizziness in aged with arteriosclerosis, "cerebral anemia". Palpitations with hypotension asthenia, dyspnea. Narcolepsy. Neuralgia in convalescence, debility. Nausea from motion sickness, excitation. Senile asthenia. Muscular pain, when recuperating from debilitating, protracted illness (with Panax quinquefolium). Morning sickness (in moderation). Metabolic debility w/atonic, asthenic, dyspneic symptoms, CNS depression. Headache, reflex uterine, with red face, corners of eyes inflamed. Collinsonia (Canada Horsebalm, Richweed, Hardhack, Heal-All, Horseweed, Ox-Balm, or Stone root) Cardiovascular edema with venous stasis in pelvis and legs; varicose veins in legs, inner thighs, from diet or chronic poor fat digestion. Mitral regurgitations with sense of heaviness; venous hyperemia. Venous stasis in pelvis and legs, with dyspepsia and general GI hypofunction, rectal heaviness. Chronic cystitis/urethritis with dark or mucopurulent urine, strained urination. Dyspepsia with sluggish liver and portal circulation (with Rumex crispus). Hemorrhoids, from any venosities, especially with leg or cervical varicosities. Orchitis/epididymitis, with hemorrhoids only. Uterus, congestion, with hemorrhoids or dull aching urination. Chronic vulvitis, with pelvic congestion. Uterine subinvolution, with dull ache, rectal symptoms, aggravated by diet. Commiphora (Myrrh) Materia Medica Follicular conjunctivitis; as an eyewash at the onset of styes. Acute periodontitis, topically. Acute aphthous stomatitis with painful inflammation. Acute early stages of herpes, topically. Acute sinusitis with ulcerations (as a nasal spray). Intrinsic humid asthma with moist cough. Acute hot dry bronchitis in aged with secretions. Chronic bronchitis with profuse secretions and debility. Bronchorrhea. Chronic cough with debility. Chronic cystorrhea w/out active inflammation, in exhausted, feeble states. Chronic cystitis/urethritis without active inflammation. Chronic nephritis without active inflammation. Gastroenteritis with mucus hypersecretions. Ulcers, subacute or chronic, not inflamed but congested. Decubitus, recuperative (externally). Herpes simplex, to speed regeneration (externally). Skin ulcers on oily, moist surfaces (externally). Endometritis/metritis, with fever and with senescent neutrophils or immuno-suppression (with Baptisia and Echinacea). Acute vaginitis (internally). Blood serum levels: white blood cell depression, any cause (w/Echinacea). Endogenous infections, with depressed WBC. Cancer, immunosuppression from therapy; or immunosuppression with marked WBC depression (with Echinacea). To stimulate innate immunity. Immunosuppression, recent, from stress (with Echinacea). Leukopenia (with Echinacea). Convallaria (Lilly of the Valley) Palpitations, arrythmia with tachycardia. Coptis (Goldthread, or Canker Root) 454 Glen Swartwout Aphthous stomatitis (as a wash and internally). Herpes, topically. Vincent's infection (trench mouth). Pemphigus. Chronic or subacute rhinitis. Recuperating from diarrhea. Dysentery, for concurrent mouth sores. Asecretory dyspepsia with anorexia, atonicity. Vomiting from alcohol abuse the night before. As a topical disinfectant for abrasions. Rectal fissures (sitz bath). Skin ulcers, in general (external). Subacute vaginitis (as sitz bath). Subacute vulvitis (as a sitz bath). Thrush (externally). Lymphadenitis, with ulcerations of the mouth. Corallorhiza (Coralroot Orchid) Chronic cough with chest pains, anorexia, diminished strength. Post-febrile pneumonia with debility, heavy secretions, protracted cough, weight loss, low chi. Coriandrum (Corainder, Cilantro, Chinese Parsley, or Dhania) Simple nervous dyspepsia from agitation. Cornus stolonifera (Redosier Dogwood, Red Stem Dogwood) Headache, from fevers. Corydalis aurea (Scrambled Eggs, Golden Smoke, Golden Corydalis) Sydenham's chorea. Neuralgia with nervous muscular twitching. Leukorrhea, viscous but without smell, with pelvic atony and hemorrhoids. Blood dyscrasias, with sluggish digestion, hyposecretions. Lymphadenitis, with ulcerations of the mouth. Materia Medica Corynanthe (Yohimbe) Impotence/frigidity, with depressed testosterone and sperm count in males, without prostatitis. Sterility, with depressed testosterone, low sperm count. Crataegus (Hawthorn, Thornapple, or Hawberry) Angina pectoris, as an adjunct for fear of death, constant guarding against pain. Arteriosclerosis; essential hypertension; hypertension with elevated diastole, arterial hypertonicity; palpitations with dyspnea. Source of bioflavonoids. Cubeba (Aromatic Litsea, May Chang) Acute hot dry bronchitis becoming chronic with thick mucus. Dyspnea after bronchitis. Chronic cystorrhea. Chronic cystitis/urethritis with mucus; or at menses. Acute vulvitis, with irritation and burning. Incontinence in children, small quantity of urine while sleeping. Cupressus (Cypress) Chronic cystitis/urethritis with prostatitis. Tinea corporis, tinea barbae, tinea capitatis (fresh tincture). Acute prostatitis, with incontinence. Cradle cap (externally). To stimulate innate immunity. Curcuma longa (Turmeric, Olena) Colic from cathartics. Cypripedium (Lady Slipper) Nervous tachycardia. Palpitations, arrhythmias with agitation, neurotic (with Cereus). Insomnia in asthenic individuals or in atonic, debilitated states. 456 Glen Swartwout Neuralgia in convalescence, debility. Poison ivy/oak (externally and topically). Amenorrhea with depressions. Dysmenorrhea, in general. Menopause, with melancholia after hot flashes. Infant teething, in the otherwise nervous fretful child. Headache, migraine, antispasmodic. Damiana californica: see Turnera. Datura (Angel's Trumpet, Jimson Weed) Spasmodic asthma (smoked). Daucus carota (Wild Carrot, Bird's Nest, Bishop's Lace, or Queen Anne's Lace) Gout, for the hyperuricemia. Blood serum levels: uric acid elevation. Dioscorea (Wild Yam) Cholangitis, general antispasmodic. Cholecystalgia, general antispasmodic. Lithiasis with clonic spasms. Ureteralgia. Pain from renal and bladder colic. Chronic pyelitis, with colic. Colic, in general. Diarrhea, for tenesmus. Chronic diarrhea with hyperactive cholinergic functions. Nausea, general antispasmodic. Vomiting, in general. Dysmenorrhea, in general. Mittelschmerz, in general. Uterus, inflammation, with cramps. Miscarriage, impending, with cramps as main symptom. Materia Medica Morning sickness. Colic in infants, general intestinal antispasmodic. Dracontium (Dragon-root, Green Dragon) General antispasmodic for long-term use in asthma. Spasmodic asthma with constriction of chest. Insomnia in asthenic individuals. Drosera (Sundew) Onset of head cold, dry with irritative cough. Subacute head cold with hoarseness or laryngitis. As a gargle in acute pharyngitis. Extrinsic asthma with dry spastic cough. Spasmodic asthma with constriction of chest. Acute spasmodic cough with paroxysms, laryngeal reflex. Hemoptysis from fits of coughing. Cough in infants, with spasms, in measles, whooping cough. Dulcamara: See Solanum dulcamarum. Echinacea (Purple Coneflower) Aphthous stomatitis (as a wash and internally) Foul breath with sulphur burps. Gums bleeding, sore and spongy, internally and as a mouthwash. Periapical abscess (gum boils), internally and topically. Ear discharge. Purulent laryngitis with systemic effects. As a gargle in acute pharyngitis. Initial stages of acute pharyngitis. Subacute pharyngitis, slow to heal. Strep throat; tonsillitis (internally and as a gargle). Acute sinusitis with ulcerations (as a nasal spray). Intrinsic humid asthma with moist cough. 458 Glen Swartwout Toxic albuminuria. Septic diarrhea. Bacillary dysentery with suppurations (with Baptisia). Fermentative dyspepsia, aggravated by food. Chronic gastritis with sulfuric, putrid belching. Peritonitis, post-operative with lingering autotoxicity. Shigellosis, supportive to primary therapy (with Baptisia). Abscess, with septicemia, swellings (with Baptisia). Abscess, with fetid discharge (internal and external). Abscess, as a moistening agent in a stimulating poultice with Althea powder as a base. As a topical disinfectant for abrasions. Decubitus with necrosis (internal and external). Eczema, pustular with sticky exudate. Herpes simplex, to speed regeneration (externally). Poison ivy/oak (topically). Skin ulcers with septicemia, edema, fever (with Baptisia); with septicemia (internal and external); with fetid discharge or gangrenous lesions (external). Suppuration with necrosis, in weak individuals (with Baptisia, externally); or with necrosis in strong individuals (externally). Urticaria (externally). Chronic tendinitis (for extended use). Cervicitis with ulceration (Calendula as douche, with Echinacea tincture and glycerine (1:4 ratio) as night-time suppository). Endometritis/metritis, with fever (with Baptisia). Acute vaginitis (douche). Stomatitis, while nursing. Infant teething, with usual agitation and GI disturbances (rubbed on gums). Blood dyscrasias, in general. Septicemia with strong immunologic vitality. Blood serum levels: white blood cell depression, any cause (with Commiphora). Endogenous infections, in general; or in feeble individuals (with Baptisia and Phytolacca). Septic fevers (with Baptisia). Cancer, immunosuppression from therapy; or immunosuppression with marked WBC depression( with Commiphora). Materia Medica To stimulate acquired or innate immunity. Immunosuppression, recent, from stress (with Commiphora). Leukocytosis (with Ligusticum porteri or Lomatium dissectum). Leukopenia (with Commiphora). Lymphadenitis, inflammatory with fever. Lymphangitis, acute in strong individuals (with Lomatium); or acute in weak individuals (with Astragalus). Mononucleosis, acute stages (with Ceanothus). Mononucleosis, general supportive. Mumps, acute (2 parts Echinacea to 1 part Aconitum, in small frequent doses; also as topical lotion, 3 parts Echinacea to 1 part Phytolacca). Headache, from fevers. Eleutherococcus (Siberian Ginseng) Lipid lowering in arteriosclerosis. Multiple sclerosis, early stages or the beginning of remissions. Adrenal cortex hypofunctions. General moderation for over-reactivity in stress and drug abuse. Acne, from excessive cortical hormones. Blood serum levels: hyperlipidemia, in general. Encelia farinosa (Brittlebush) Acute allergic rhinitis. Acute sinusitis with runny eyes, nose. In children, eye and nose pain, sharp itching pain, hay fever. Hay fever with watery eyes, nasal membranes. Ephedra sinica (Ma Huang) Hay fever, in general. Middle ear decongestant. General decongestant. Hay fever, in general. Ephedra viridis (Mormon Tea, Green Ephedra, Indian Tea) 460 Glen Swartwout General decongestant. Acute cystitis/urethritis with inflammation and irritation. Hay fever, in general; and in particularly sensitive individuals. Epilobium angustifolium (Fireweed, Great Willow-herb, or Rosebay Willowherb) Colic with chronic, non-inflammatory diarrhea. Dysentery, general tonic when self-limiting. Gastroenteritis with colic, green diarrhea, no fever. Prostatitis, acute, in general. Diarrhea in infants (with Mentha piperita). Vomiting in children, with green diarrhea. Epipactis gigantea (Stream Orchid, or Giant Helleborine) Nervous tachycardia. Insomnia in asthenic individuals or atonic, debilitated states. Neuralgia in convalescence, debility. Poison ivy/oak (externally and topically). Amenorrhea with depressions. Dysmenorrhea, in general. Menopause, with melancholia after hot flashes. Infant teething, in the otherwise nervous fretful child. Headache, migraine, antispasmodic. Equisetum (Horsetail) Emphysema, to strengthen septum cartilage. Acute cystitis/urethritis with inflammation and irritation. Incontinence, while sleeping, from chronic cystitis (with Rhus aromatica). Incontinence in aged males with enlarged prostate, poor bladder control. Ureteralgia. Nephritis with edema. Rheumatoid arthritis. Menopause, with early osteoporosis symptoms (as a tea with Medicago sativa and Angelica sinensis). Prostatitis, with irritable bladder, dribbling. Materia Medica Blood serum levels: creatinine, moderate elevation, renal cause. Nutritional malabsorption in moderate parathyroid imbalances. Erigeron canadensis (now Conyza canadensis, Horseweed, Canadian Horseweed, Canadian Fleabane, Coltstail, Marestail, or Butterweed) Epistaxis. Hemoptysis. Hemorrhage, general and from congested, boggy mucosa. Phosphaturia with pain in kidneys. Ulcerative bleeding colitis. Dysentery with blood. Mild GI hemorrhage, subacute or chronic, with ache or no pain. Hemorrhoids, bleeding. Irritable bowel syndrome with occasional colitis-like bleeding. Bleeding ulcers. Post-partum hemorrhage, passive from lack of contraction. Eriodictyton (Yerba Santa, Mountain Balm, Consumptive's Weed and Bear Weed) Middle ear decongestant. General decongestant. Humid bronchial asthma with free expectoration. Acute cough, moist, persistent; after influenza. Acute effusive pleurisy. Acute cystitis/urethritis with mucus in urine. Chronic anorexia with extensive hypersecretion of pulmonary, renal, intestinal mucus. Chronic catarrhal dyspepsia with anorexia. Eriogonum (Wild Buckwheat) Topical eyewash for bloodshot eyes, conjunctivitis. Source of bioflavonoids. Eryngium (Button Eryngo, Button Snakeroot, Rattlesnake Master, Beargrass, Bear's Grass) 462 Glen Swartwout Chronic laryngitis with excess, abundant mucus. Chronic bronchitis with profuse secretions. Cystorrhea. Acute cystitis/urethritis w/aching in loins, frequent burning and scanty urination. Dysuria w/incontinence from movement, menses, after coitus or in menopause. Hematuria. Incontinence, menstrual, menopausal, aggravated by movement; or from recent sexual activity in sedentary, previous abstentious males. Lithiasis with hematuria, especially from lower tract; or with hyperuricemia. Polyuria, from urethritis or prostatitis. Prostatitis, acute, in general. Subacute/chronic prostatitis with spermatorrhea. Erythraea (Common Centaury. or European Centaury) Anorexia nervosa after GI infections. Escholzia californica (California Poppy, Golden Poppy, California Sunlight, Cup of Gold) Antispasmodic strangury. Euclyptus globulus (Tasmanian Blue Gum, Southern Blue Gum, or Blue Gum) Ulcerative conjunctivitis. Tongue pasty, foul-smelling (not from teeth). Foul breath with sulphur burps. Acute hot dry bronchitis in aged with secretions. Acute cough after pneumonia with difficult expectoration. Acute or recuperating bronchial pneumonia with difficult expectoration, dry and tough. Gastric colic with flatulence. Fermentative dyspepsia, aggravated by food. Chronic gastritis with sulfuric, putrid belching. Skin ulcers with fetid discharge or gangrenous lesions (external). Euonymus (Spindle, or Spindle Tree) Materia Medica Tongue yellow-coated with anorexia, liver problems. Chronic anorexia nervosa with recurring viral infections. Anorexia from chemotherapy. Atonic colon with anorexia and liver hypofunction. Constipation with poor appetite, post-febrile. Asecretory dyspepsia with anorexia, atonicity. Anorexia from cancer therapy. Anorexia nervosa, iatrogenic from drugs. Eupatorium perfoliatum (Common Boneset, or Boneset) Head cold, moist with fever, aches. Acute hot dry bronchitis with muscular weakness. Influenza with malaise and aches. Acute bronchial pneumonia with dyspnea. To stimulate innate immunity. Eupatorium purpureum (Kidney-root, Sweetscented Joe-Pie Weed, Sweet Joe-Pye Weed, Gravel Root or Trumpet Weed) Chronic cystorrhea with sense of fullness, blockage. Cystitis, urethritis, with pain from gravel and acid, urate urine. Chronic cystitis/urethritis w/dark or mucopurulent urine and strained urination. Chronic acidic dysuria with dark or milky urine. Chronic passive hematuria. Lithiasis with hyperuricemia. Chronic pyelitis, post lithiasis, painful urination. Subacute/chronic prostatitis, with pelvic and sacral pain. Fever, moist with deep aching pain. Euphrasia (Eyebright) Acute conjunctivitis w/sharp sinus pain; hyperaemia w/rhinitis, frontal headache, sneezing; acute inflammation of the eyelids; also as an eyewash for runny eyes. Otitis media from allergies, rhinitis. Acute allergic rhinitis. 464 Glen Swartwout Acute sinusitis with runny eyes, nose. In children, eye and nose pain, sharp itching pain, hay fever. Hay fever with watery eyes, nasal membranes. Foeniculum vulgare (Sweet Fennel, or Fennel) Dyspepsia with flatulence that is chronic anyway. Lactation, suppressed from nervousness, mild sympathetic excess. Colic in infants, with flatulence. Fouquieria (Ocotillo, Desert Coral, Coachwhip, Jacob's Staff, or Vine Cactus) Cardiovascular edema with venous stasis in pelvis and legs; varicose veins in legs, inner thighs, from diet or chronic poor fat digestion. Alcoholic cirrhosis with portal congestion. Hepatitis - chronic abdominal pain and hemorrhoidal aching after acute symptoms long over. Dysuria with congestive prostate enlargements in sedentary males. Colitis from intestinal putrefaction and liver or portal dysfunction. Chronic constipation with poor fat absorption, sluggish portal circulation. Hemorrhoids, all cases aggravated or initiated by dietary or alcoholic excess. Steatorrhea, from overindulgence in fats; or with ileocecal irritability. Eczema, with chronic poor fat digestion, dry skin. Chronic psoriasis, when pelvic congestion, hemorrhoids, dull urethritis triggers acute episode. Cervicitis concurrent with hemorrhoids, occasional ache on urination or varicose vein aggravation. Orchitis/epididymitis, with portal congestion, hemorrhoids, varicosities. Uterus, congestion, with hemorrhoids or dull aching urination. Nutritional malabsorption with steatorrhea but no cecal inflammation, dark feces with bad breath, subcutaneous pre-acne eruptions. Cancer, supportive in lymph dysplasias. To stimulate innate immunity. Lymphadenitis, in inguinal nodes; or w/congested cisterna chyli, thoracic ducts. Mononucleosis, with steatorrhea, portal congestion, hemorrhoids. Frangula: See Rhamnus frangula. Frankenia (Alkali Heath, or Alkali Seaheath) Materia Medica Leukorrhea, hypersecretory, milky, little smell (as a douche, with Hydrastis inter.). Franseria ambrosoides: See Ambrosia. Frasera speciosa: See Swertia radiata. Fraxinus (Ash) Bacillary dysentery with suppurations. Uterine subinvolution, with vertex and occipital headache. Fucus (Bladder Wrack brown algae) Fatty degeneration of heart, as an adjunct therapy. Thyroid hypofunction with obesity, fluid retention. Malnutrition, in mineral deficiencies. Galium (Cleavers) Acute cystitis/urethritis with systemic infections, fever. Dysuria concurrent with systemic, febrile infections. Gambir (Ucaria gambir) Periodontitis, topically. Garrya (Coast Silk-tassel, Silk Tassel Bush or Wavyleaf Silktassel) Diarrhea, for tenesmus. Chronic diarrhea with hyperactive cholinergic functions. Obstinate hiccoughs. Nausea, general antispasmodic. Shigellosis, for cramps. Dysmenorrhea, in general. Gaultheria (Eastern Teaberry, Checkerberry, Boxberry, or American Wintergreen) Chronic cystitis/urethritis with prostatitis. Acute dysuria with pain in back, difficult urination from sphincter irritation. 466 Glen Swartwout Acute mild nephritis with fine hyaline cysts. Hemorrhoids, painful, extruding, w/sense of fullness, weight, congestion. Anti-inflammatory in arthritis. Subacute/chronic prostatitis, with urethritis. Headache in children, in general (as a tea). Gelsemium (Yellow Jessamine, Carolina Jessamine, or Evening Trumpetflower) Tonsillitis pain. Acute hot dry bronchitis with red face, fever, contracted pupils. Acute influenza, hypersecretory, excitability. Hyperemia w/flushed face and eyes, contracted pupils, restlessness, excitation. Convulsions, when other medications may not be necessary. Trigeminal neuralgia from cold, caries, or gum inflammation. Uterus, colic. Labor, rigidity of cervix, thin, rigid; or with restlessness, fear, excitation. Cervix thin, rigid. Fever, with flushed face, bright eyes, contracted pupils, excitation, hyperemia, not congestion. Mumps with high fever. Headache, from eyestrain. Gentiana (Gentian) Anorexia nervosa in the feeble, asthenic; after GI infections. Atonic colon with anorexia. Chronic catarrhal dyspepsia with anorexia. Heartburn, with anorexia. Nausea before eating. Allergies, secondary hypersensitivities. Nutritional malabsorption in the aged and convalescent. Cancer, supportive in upper GI neoplasias. Diabetes/hyperglycemia - functional hyperglycemia, especially before meals (as a bitter shortly before eating). Geranium (Cranesbill) Materia Medica As a mouthwash for bleeding gums. Chronic diarrhea with semi-formed feces, frequent evacuations and debility. Chronic dysentery. Gastric ulcers with vomiting. Leukorrhea, hypersecretory, milky, little smell (as a douche). Ginkgo (Ginkgo, Maidenhair Tree) Arteriosclerosis. Dizziness in aged with arteriosclerosis, "cerebral anemia". Cerebral vasodilator to increase site glucose availability, as opposed to real increase in serum glucose. Gotu Kola: See Centella asiatica. Glycyrrhiza glabra (Licorice) Acute cough with faucial irritability. Hypotension with frequent urination. Adrenal cortex hypofunctions. Constipation, dry feces with scanty secretions. Irritable bowel syndrome with constipative phase dominant, in adrenergic stress individuals. "Surgical menopause" after 35 years of age, as a possible alternative to hormone replacement therapy (with Angelica sinensis). Gossypium (Cotton) Amenorrhea with backache, fullness, aching pelvis. Dysmenorrhea, slow onset w/clots; or iatrogenic complications from antihistamine or anti-inflammatory medication. Impotence/frigidity, in general; or with arousal but weak and vague uterine contractions or ejaculation in orgasm. Menorrhagia, as a general treatment. Acute prostatitis, with from excessive sexual activity after prolonged celibacy. Subacute/chronic prostatitis, enlarged with dull ache in older males. Prostatitis, preventative (with Pumpkin Seeds). Sterility, with depressed testosterone, low sperm count. 468 Glen Swartwout Uterus, atony, especially sexual. Uterus, inflammation; or prolapse. Acute vaginitis (internal). Acute vulvitis, with incontinence. Post-partum hemorrhage, passive from lack of contraction. Labor, with simple uterine exhaustion. Lactation, suppressed from nervousness, mild sympathetic excess. Lactation, poor letdown or other oxytocin reflexes. Acute mastitis (internally, with Ceanothus internally, and Phytolacca externally). Uterine subinvolution, with poor tone and reflex contractions. Granatum: See Punica granatum. Grindelia (Hardy Grindelia, Gum Plant, California Gum Plant, Scaly Grindelia, or Rosin Weed) Iritis; ophthalmalgia. Chronic pharyngitis with thick tenacious mucus. Sleep apnea. Dry non-spasmodic asthma with pectoral soreness, raw throat. Intrinsic humid asthma with thick mucus. Asthma with sleep apnea. Recuperating bronchitis w/difficult expectoration; sub-acute or chronic bronchitis in aged. Bronchorrhea. Acute dry cough after fever. Emphysema with dry labored breathing, sallow skin. Acute influenza with coughing, dyspnea. Eczema, chronic vesicular. Poison ivy/oak (topically). Skin ulcers, chronic, indolent, with impaired circulation (internal and external). Guaiacum (Lignum Vitae) Initial stages of acute pharyngitis. Subacute pharyngitis, slow to heal. Acute pharyngitis, returning after almost healing. Chronic pharyngitis with chronic joint pain, mild auto-immunity symptoms. Materia Medica Strep throat. Acute early stage tonsillitis (also as a gargle). Subacute moist cough, stubborn, reoccurring. Multiple sclerosis, early stages or the beginning of remissions. Arthritis, diuretic. Chronic rheumatic pains with cold hands, feet, poor circulation, debility. Gutierrezia (Snakeweed, Matchweed) As a bath in arthritis. Hamamelis (Witch-hazel) As an eyewash in acute ophthalmia. As a mouthwash for sore gums. Acute pharyngitis with hyperemia. Chronic pharyngitis with pale, relaxed mucosa. Chronic sinusitis with nasal catarrh, thickened relaxed mucosa (also as a gargle). Passive capillary hemorrhage. Varicose veins with relaxed tissues, sense of fullness; venous stasis in turgid veins, not from cardiac decompensation or portal hypertension. Hemorrhoids, painful, extruding, with sense of fullness, weight, congestion. Abrasions with bruises and dermal irritations (topical). Leukorrhea, viscous, fetid (as douche, with Hydrastis). Uterus, congestion, with hemorrhoids or dull aching urination. Varicosities during pregnancy (external fomentation). Harpagophytum (Grapple Plant, Wood Spider, or Devil's Claw) Lipid lowering in arteriosclerosis. Adrenal cortex hyperfunctions from stress, with elevated lipids, uric acid, blood sugars with stomach hypersecretions. Lithiasis with hyperuricemia. A preventative for alkaline, phosphatic stones. Rheumatoid and osteo-arthritis; arthritis when accompanied by elevated lipids and uric acid. Anti-inflammatory in arthritis. 470 Glen Swartwout Gout, for inflammation and for the hyperuricemia. Blood serum levels: cholesterol elevations. Blood serum levels: hyperlipidemia, in general. Blood serum levels: uric acid elevation. Hedeoma (American Pennyroyal, or American False Pennyroyal) Onset of head cold, dry with tight membranes, fever. Amenorrhea, simple, crampy. Fever in infants, suppressed sweating. Fever, dry, hot, interrupted diaphoresis. Helianthemum: See Cistus. Heliopsis longipes (Gold Root) The root is chewed as a preventative for periodontitis. Hepatica (Liverleaf, or Liverwort) Cough in infants, with spasms, in measles, whooping cough. Heracleum lanatum root (Cow Parsnip) Externally for trigeminal neuralgia; also for paralysis at and distal from nerve injury. Heterotheca (Golden Aster) Vasoneurosis of skin and mucosa. Topical in arthritis. As a bath in arthritis. Joint and muscle pain, especially in children (externally). Heuchera (Alumroot, or Coral Bells) Chronic diarrhea with semi-formed feces, frequent evacuations and debility. Humulus (Hops) Materia Medica Insomnia with indigestion and epigastric fullness. Brachial neuritis. Trigeminal neuralgia, to decrease sensitivity of trigger points. Dyspepsia from starches. As a topical disinfectant for abrasions. Nutritional malabsorption with faulty starch digestion and dyspepsia. Headache, migraine-like, chronic in evenings, with dyspepsia. Hydrangea (Hydrangea, Hortensia, Ajisai, 7-barks) Cystitis, urethritis, with pain from gravel and alkaline, phosphatic urine; or with pain from gravel and acid, urate urine. Acute dysuria with pain in back, difficult urination from alkaline urine and passage of phosphatic urine. Hematuria with pain on urination; or with sediment in urine. Lithiasis with clonic spasms. Ureteralgia. Deep seated kidney pain accompanying primary treatment for nephritis. Pain in lumbar region only. Pain from renal and bladder colic. Phosphaturia with pain in kidneys. Blood serum levels: creatinine, moderate elevation, renal cause. Hydrastis (Goldenseal, Orangeroot, or Yellow Puccoon) Catarrhal or follicular conjunctivitis; as an eyewash in acute ophthalmia. Aphthous stomatitis (as a wash and internally) Herpes topically (also internally). Ceruminosis with eczema, externally. Subacute head cold with thick mucus. Acute granular pharyngitis. Subacute pharyngitis with thick, gagging mucus (internal and external). Chronic pharyngitis with pale, relaxed mucosa. Chronic or subacute rhinitis. Chronic sinusitis with edematous turbinates, relaxed and purplish; or with thick ropy mucous, frontal headache. 472 Glen Swartwout Subacute tonsillitis with crypt catarrh. Hemorrhage from congested, boggy mucosa. Chronic anorexia with colon, rectal catarrh. Atonic colon with mucus in feces. Chronic colic with catarrh. Recuperating from dysentery. Acute gastritis, recuperation. Chronic gastritis with sulfuric, putrid belching. Chronic gastritis from alcoholic excess. Gastroenteritis, recuperation. Hemorrhoids, non-ulcerative with intestinal weakness, steatorrhea. Nausea in morning from alcohol abuse. Vomiting from alcohol abuse the night before. Shigellosis, recuperative period. Ulcers, subacute or chronic, not inflamed but congested. As a topical disinfectant for abrasions. Rectal fissures (retention enema). Herpes simplex, subacute (internal and external). Skin ulcers, in general (external). Leukorrhea, viscous, fetid (as douche, with Hamamelis). Leukorrhea, hypersecretory, milky, little smell (internally, with Frankenia as a douche). Subacute vaginitis (as sitz bath). Diabetes/hyperglycemia - functional hypergluconeogenesis. Extended immunosuppression, with congestion, edema (with Echinacea). Hypericum (St. John's Wort) Insomnia in asthenic individuals. Neuralgia with nervous muscular twitching. Muscular pain without hyperemia (externally). Aseptic synovitis without inflammation (internal and external). Unipolar depressive states. Hysteria with heat along spinal cord, distal hypersthenia. Pain, general, after inflammatory or hyperemic states, recuperative period. Materia Medica Hyssopus (Hyssop) Abrasions with bruises and dermal irritations (topical). Bruises (topical). Muscular pain, as a poultice or fomentation. Impatiens (Impatiens, or Busy Lizzie) Poison ivy/oak (fresh plant tincture, topically). Inula (Elecampane, Horse-heal, or Marchalan) Humid bronchial asthma. Chronic bronchitis, bronchorrhea. Acute cough, moist, persistent. Dyspnea after bronchitis with copious expectoration. Ipecac syrup (Ipecacuanha, Carapichea ipecacuanha) Tongue broad, full, coated, with nausea, vomiting; broad slimy flabby with foul burps. Iris (Blue Flag, Harlequin Blueflag, Larger Blue Flag, or Northern Blue Flag, Iris versicolor) Thyroid hypofunction with fluid retention, immunodepression. Sick headache with nausea, dyspepsia, light feces. Cholangitis with sharp cutting pains, increased by motion. Alcoholic cirrhosis with portal congestion. Constipation with light feces. Diarrhea, large mucoid semi-formed feces. Dyspepsia with nausea, sick headache, light feces. Gastroenteritis with mucus hypersecretions. Heartburn from fats. Nausea in morning, after fatty breakfast. Vomiting, from fats, pastry abuse. Eczema, with chronic poor fat digestion, dry skin. Blood serum levels: LDL, VLDL elevated. Nutritional malabsorption in radical dietary changes with sluggish pancreatic and succus entericus response. 474 Glen Swartwout To stimulate innate immunity. Lymphangitis, subacute, lingering. Jeffersonia (Twinleaf, or Rheumatism Root) Acute rheumatic pains, non-inflammatory, with mild auto-toxicity. Headache, migraine-like, chronic in evenings, with vertigo, in asthenics. Juglans (Walnut) Colic in cecum with uneasy, distressing pain. Chronic colic with catarrh. Constipation; chronic atonic; or with atonic gastric functions, eruptions on face, neck, back or buttocks. Burning, acrid diarrhea. Dyspepsia with flatulence from overeating and digestive abuse. Chronic catarrhal dyspepsia with constipation. Steatorrhea with eruptions on buttocks. Acne, with constipation, flatulence. Eczema, with constipation, flatulence. Juniperus (Juniper) Albuminuria, chronic renal weakness without inflammation. Chronic cystorrhea without active inflammation. Chronic cystitis/urethritis without active inflammation. Dysuria, non-inflammatory, recurring, after "surgical" menopause. Chronic nephritis without active inflammation. Menopause, with recurring dysuria but no inflammation. Subacute/chronic prostatitis, enlarged, without inflammation, with discharge. Kalmia (Mountain Laurel, Sheep-laurel, Lamb-kill, Calf-kill, Kill-kid, and Sheep-poison) Muscular pain, in general, referred pain specifically. Krameria (Rhatany, Ratany, or Rattany) Aphthous stomatitis (as a wash and internally) Gums bleeding, sore and spongy, internally and as a mouthwash. Materia Medica Periodontitis, topically. Herpes, topically. Incontinence, general. Pain in lumbar region, flanks to navel. Chronic diarrhea with semi-formed feces, frequent evacuations and debility. Gastric ulcers with vomiting. Acute vaginitis (douche). Larrea (Chaparral, Creosote Bush, Hediondilla, or Gobernadora) Chronic biliousness with symptoms of autointoxication, sluggish liver catabolism. Dyspepsia, aggravated by fats and proteins. Nausea in morning, after fatty breakfast. Steatorrhea with ileocecal irritability. Vomiting, from fats, pastry abuse. Eczema, with chronic poor fat digestion, dry skin. As a bath in arthritis. Leukorrhea, supportive to local itching and pain (with Anemopsis as a sitz bath). Blood serum levels: SGOT, SGPT elevations with elevated bilirubin, not active hepatitis. Nutritional malabsorption in conjunction with lipotropic therapies. Cancer, supportive in skin cancers (externally). Hangover, liverish, dark circles under eyes. Lavandula (Lavender) Flatulent colic. Dyspepsia with flatulence, nervous dyspepsia, nausea. Nausea, general anesthetic. Colic in infants, with moderate pain, sour breath, nausea. Vomiting in children, with acidic vomit. Leonurus (Motherwort, Throw-wort, Lion's Ear, or Lion's Tail) Herpes, early nerve pain, before eruptions. Nervous tachycardia with circulatory excitement, anxiety; supportive to other measures for anxiety syndromes in chronic cardiopathies; functional neurocirculatory disorders. 476 Glen Swartwout Amenorrhea with irritation, pelvic and lumbar pain. Dysmenorrhea with irritability, lumbar and pelvic pain, unrest. Premenstrual syndrome (PMS), w/muscular rigidity, nervous tension or pain in chest. Pain, general, in the sthenic, with sharp pain, generally increasing. Pain, neurogenic, with agitation and increased CNS sensitivity. Leptandra (Culvers Root) Tongue white-coated, light feces. Dizziness, depression, frontal headache, tenderness, pain in rt. hypochondrium. Acute cholangitis. Cholecystalgia; pain in right hypochondrium to right shoulder, without any major abdominal pain. Cholelithiasis preventative. Hepatitis; hot skin, cold feet, abdominal congestion, white-coated tongue, bad taste and breath, pain in right hypochondrium with pain referred to right or left shoulder. Jaundice with pale dry skin, thick coated tongue, moderate hepatic pain. Dyspepsia, aggravated by fats and proteins. Headache, in digestive dysfunction, following meals. Lespedeza (Bush Clover, or Japanese Clover) To lessen the tendency to sclerosis in chronic nephritis. Leucanthemum: See Chrysanthemum leucanthemum. Ligusticum porteri (Osha, Porter's Lovage, Porter's Licorice-root, Porter's Wild Lovage, Loveroot, Bear Medicine, Bear Root, Mountain Lovage, Indian Parsley, Mountain Ginseng, Nipo, Chuchupate) Onset of head cold, dry with irritative cough. Initial stages of acute pharyngitis. Subacute pharyngitis, slow to heal. Acute early stage tonsillitis. Bronchorrhea. Acute cough, initial stages. Acute influenza with coughing, dyspnea. Acute bronchial pneumonia with dyspnea. Materia Medica Fever, dry, hot, interrupted diaphoresis. Leukocytosis (with Echinacea). Ligustrum lucidum (Chinese Privet, Glossy Privet or Broad-leaf Privet) Chronic aphthous stomatitis with pale mucosa, relaxed tissue. Thrush (externally). Limon (Lemon, Citrus limon) Tongue elongated, reddened with prominent papillae. Linaria (Toadflax, Yellow Toadflax, or Butter-and-eggs) Hepatitis with rebound elevations of bilirubin, SGOT and SGPT at a later time. Jaundice, general recuperative. Blood serum levels: bilirubinemia without active hepatitis. Blood serum levels: SGOT, SGPT elevations with elevated bilirubin, no active hepatitis. Hangover, liverish, dark circles under eyes. Liquidambar (Sweetgum, Sweet Gum, Gum, Redgum, Satin-walnut, Alligator-wood, or American Storax) Chronic dry unproductive bronchial cough. Lobaria pulmonaria: See Sticta. Lobelia inflata (Indian Tobacco) Tongue full white coated, especially heavy in the back. Onset of head cold, dry with irritative cough. Extrinsic asthma with dry spastic cough. Asthma with albuminuria. Recuperating bronchitis with congestion, hypersecretion, post-febrile. Chronic bronchitis with profuse secretions. Bronchorrhea. Acute cough, moist, persistent; after pneumonia with difficult expectoration; or after fever, dry. Chronic cough with debility. Dyspnea after bronchitis or pneumonia, perhaps with copious or difficult expectoration. 478 Glen Swartwout Influenza, dry, hot, asecretory (combine with Capsicum). Angina pectoris - vasomotoria (false) with slow pulse, precordial heaviness, mild general cardiac neuralgia. Convulsions, when other medications may not be necessary. Epilepsy, to reduce force and lessen frequency. Cholecystalgia, general antispasmodic. Antispasmodic strangury. Chronic anorexia with depressed autonomic and myenteric stimulation. Atonic colon without inflammation but marbly hard feces. Labor, rigidity of cervix, thick, doughy. Cervix rigid, thick, doughy. Cough in infants, with acute laryngitis and wheezing; or with spasms. Measles with imperfect or tardy eruption, dry irritable cough. Metabolic debility, with vague, adrenergic- induced depression. Depression with shallow respiration, rapid pulse, dilated pupils. Convulsive hysteria. Lobelia inflata acetum tincture (Indian Tobacco vinegar extract) Poison ivy/oak (topically). Lomatium dissectum (Fernleaf Biscuitroot) Initial stages of acute pharyngitis. Subacute pharyngitis, slow to heal. Acute early stage tonsillitis. Influenza. Pneumonia. Leukocytosis (with Echinacea). Lymphangitis, acute in strong individuals (with Echinacea). Mononucleosis, acute stages (with Echinacea). Lophophora (Peyote cactus) Functional neurocirculatory disorders; palpitations with hypotension asthenia, dyspnea. Lycopodium clavatum (Wolf's-foot Clubmoss, Stag's-horn Clubmoss, or Groundpine) Materia Medica Skin ulcers, general protective cover. Lycopus (Gypsywort, or Bugleweed) Exophthalmic goiter from long-term functional hyperthyroidism with tachycardia and mild dyspnoea. Chronic epistaxis. Chronic bronchitis. Hemoptysis. Tachycardia with circulatory excitement, anxiety; supportive to other measures for anxiety syndromes in chronic cardiopathies; passive capillary hemorrhage; tobacco heart; chronic dilated cardiovascular hypertrophy; palpitations after febrile infection or from hiatus hernia or gastritis. General thyroid hyperfunction; functional exophthalmus hyperfunction. Chronic passive hematuria. Blood serum levels: creatinine, moderate elevation, renal cause. Mahonia (Oregon-grape) As an eyewash for follicular or catarrhal conjunctivitis, for acute or chronic catarrhal ophthalmia, or for the onset of styes. As a mouthwash for bleeding gums. Tongue with yellowish-brown coat. Aphthous stomatitis (as a wash and internally). Chronic or subacute rhinitis. Acute biliousness from food or drug excess. Jaundice, general recuperative. A preventative for alkaline, phosphatic stones. Atonic colon with anorexia. Constipation with light feces. Diarrhea from dietary indiscretions. Recuperating from diarrhea. Dyspepsia from fats. Dyspepsia with nausea, frontal headache. Chronic gastritis from alcoholic excess. Gastroenteritis with hepatic malfunction, slight jaundice. Heartburn from fats. 480 Glen Swartwout Nausea after eating. Nausea in morning, after fatty breakfast. Shigellosis, for lingering autotoxicity. Steatorrhea with bile deficiency, nausea, sick headache. Gastric or duodenal ulcers, slow healing. Acne, face and scalp. Dry eczema. Eczema, facilitating any external measures. Pruritus senilis, in general. Acute episodic psoriasis. Premenstrual syndrome (PMS), with oily skin and abdominal heaviness, food cravings, especially for fats and proteins (taken daily for the week before menses). Blood dyscrasias, with scaly skin eruptions, impaired nutrition. Allergies, in general. Allergies, secondary hypersensitivities. Nutritional malabsorption - poor protein absorption. Diabetes/hyperglycemia - functional hypergluconeogenesis. Hangover, liverish, dark circles under eyes. Headache, in digestive dysfunction, following meals. Malva (Mallow) Acute cystitis/urethritis in general. Lithiasis, with irritation, inflammatory pain. Strangury, in general. Thrush (externally). Marrubium (Horehound, or Hoarhound) Intrinsic humid asthma. Chronic bronchitis. Marsdenia (Condurango, Condurango Blanco, or Marsdenia Condurango) Cancer, supportive in upper GI neoplasias. Materia Medica Matricaria (Matricaria recutita, Chamomile, Camomile, German Chamomile, Hungarian Chamomile, Wild Chamomile, or Scented Mayweed) Insomnia with indigestion and epigastric fullness. Simple nervous dyspepsia from agitation. Nausea, general anesthetic. Eczema, in general (as a bath). Hair tonic. As a bath in arthritis. Gout, for inflammation (as a bath). Muscular pain, as a poultice or fomentation. Colic in infants, with crying, agitated, hysterical. Fever in infants, agitated and hysterical with pain on palpation of hypochondrium or epigastric region. Headache in children with moist skin, hot head. Infant teething, with usual agitation and GI disturbances. Vomiting in children, with green diarrhea. Medicago sativa (Alfalfa) Phosphaturia in general. Menopause, with early osteoporosis symptoms (as a tea with Equisetum and Angelica sinensis). Lactation, poor quality and quantity. Appetite poor, nervous, weak. Malnutrition, recuperation from major illness, surgery. Nutritional malabsorption in moderate parathyroid imbalances. Melilotus officinalis (Yellow Sweet Clover, Yellow Melilot, Ribbed Melilot, or Common Melilot) Pain from renal and bladder colic. Acute mastitis (as soothing poultice). Pain, general, in the asthenic, with sense of cold. Mentha arvensis (Field Mint, Pudina, Wild Mint, or Corn Mint) 482 Glen Swartwout Flatulent colic. Nausea after eating. Fever in infants, suppressed sweating. Mentha piperita (Peppermint) Nausea after eating. Diarrhea in infants (with Epilobium). Fever in infants, suppressed sweating. Vomiting in children, general treatment (as a tea). Mentha pulegium (European Pennyroyal, Squaw Mint, Mosquito Plant, or Pudding Grass) Flatulent colic. Amenorrhea, simple, crampy. Mentha viridis (Spearmint) Simple nervous dyspepsia from agitation. Nausea after sick headache. Menyanthes (Bogbean) Allergies, secondary hypersensitivities. Nutritional malabsorption in the aged and convalescent. Nutritional malabsorption in poor protein absorption. Diabetes/hyperglycemia - functional hyperglycemia, especially before meals (as a bitter shortly before eating). Headache, in digestive dysfunction, following meals. Micromeria (Yerba Buena) Flatulent colic. Mirabilis multiflora (Colorado Four O'clock) Appetite depressant. Mitchella (Partridge Berry, or Squaw Vine) Materia Medica Dysuria with dysmenorrhea; or with congestive prostate enlargements in sedentary males. Polyuria, from urethritis or prostatitis. Cervicitis with dysmenorrhea and dysuria. Subacute/chronic prostatitis, with urethritis. Primipara, with history of first or second trimester miscarriage; or with irritability, distress last trimester. Monarda (Bergamot, or Bee Balm) Diarrhea from dietary indiscretions. Myrica (Southern Wax Myrtle, Southern Bayberry, Candleberry, Bayberry Tree, or Tallow Shrub) Aphthous stomatitis, either acute with hyperacidity and acid diarrhea, or chronic with pale mucosa, relaxed tissue, hypersalivation. Acute glossitis with mouth sores. Periodontitis, topically. Chronic herpes, topically. Vincent's infection (trench mouth). Acute pharyngitis, returning after almost healing. Subacute pharyngitis, slow to heal. Chronic pharyngitis with semi-edema, hypersecretion. Chronic sinusitis with inflammation, catarrh, stuffy heat. Chronic tonsillitis with hypersecretions, boggy; ulcers. Cardiovascular edema with weak circulation debility. Arteriosclerosis with dry membranes, skin. Chronic anorexia with colon, rectal catarrh. Atonic colon with mucus in feces. "Chronic" colitis. Diarrhea, large mucoid semi-formed feces. Atonic dyspepsia in alcoholics. Chronic catarrhal dyspepsia with constipation. Flatulence with inflammation. Chronic static gastritis. Chronic gastritis from alcoholic excess. Gastroenteritis with mucus hypersecretions. 484 Glen Swartwout Irritable bowel syndrome with chronic ileocecal inflammation or cramps. Nausea in morning from alcohol abuse. Subacute or chronic ulcers with vomiting or spitting of ropy mucus. Ulcers, waking pain during first REM period (with Piper methysticum). Senile asthenia. Subacute vulvitis (as a sitz bath). Cerebral vasodilator to increase site glucose availability, as opposed to real increase in serum glucose. Nepeta cataria (Catnip, Catswort, or Catmint) Simple nervous dyspepsia from agitation. Nausea, general anesthetic. Vomiting, in general. Colic in infants, with flatulence; or with crying, agitated, hysterical. Fever in infants, suppressed sweating. Headache in children with moist skin, hot head. Vomiting in children, general treatment. Nicotiana (Tobacco) Topical in arthritis. Muscular pain, as a poultice or fomentation. Oplopanax (Devil's Club, or Devil's Walking Stick) Multiple sclerosis, aggravated by blood sugar shifts. Adrenal cortex hypofunctions. Eczema, brought on specifically by emotional crisis. Thin, subanemic blood with hypersensitivities. Blood serum levels: hyperlipidemia, in general. Asthenia - frequent sense of chill in warm room, fingers cold, appetite poor but elimination normal, though skin dry. General preventative for hyperglycemia, early stages of insulin resistant diabetes. Opuntia (Prickly Pear, Nopales, or Paddle Cactus) Materia Medica Lipid lowering in arteriosclerosis (juice). Source of bioflavonoids (fruit and flowers). Internal bruises. Adult onset, insulin resistant diabetes (juice). Panax Ginseng (Cured, Chinese Kirin, or Korean Red Ginseng) Asthenic hypotension with dry skin and frequent blushing. Dizziness in aged with arteriosclerosis, "cerebral anemia". Multiple sclerosis in young women or in the asthenic, feeble. Adrenal medulla depressed from stimulant withdrawal, "exhausted". Sterility, with depressed testosterone, low sperm count. Blood serum levels: alkalosis, metabolic. Asthenia - frequent sense of chill in warm room, fingers cold, appetite poor but elimination normal, though skin dry. Hypoglycemia, sympathomimetic. Panax Ginseng (Uncured Ginseng) Adrenal cortex hypofunctions. Anorexia from chemotherapy. Menarche delay (primary amenorrhea), with recent growth spurt and increased pubic hair. Sterility, with depressed testosterone, low sperm count. Blood serum levels: alkalosis, metabolic. Nutritional malabsorption in the aged and convalescent. Asthenia - frequent sense of chill in warm room, fingers cold, appetite poor but elimination normal, though skin dry. General preventative for hyperglycemia and early stages of insulin resistant diabetes. Anorexia nervosa, mild, in adolescence. Panax quinquefolium (American Ginseng) Lipid lowering in arteriosclerosis. Multiple sclerosis, early stages or the beginning of remissions. Adrenal cortex hypofunctions. Adrenal cortex hyperfunctions from stress, with elevated lipids, uric acid, blood sugars with stomach 486 Glen Swartwout hypersecretions. General moderation for over-reactivity in stress and drug abuse. Acne, from excessive cortical hormones. Muscular pain, when recuperating from debilitating, protracted illness (w/Cola). Menarche delay (primary amenorrhea), with recent growth spurt and increased pubic hair. Sterility, with depressed testosterone, low sperm count. Thin, subanemic blood with hypersensitivities. Blood serum levels: cholesterol elevations. Blood serum levels: hyperlipidemia, in general. Blood serum levels: alkalosis, metabolic. Blood serum levels: LDL, VLDL elevated. Nutritional malabsorption in the aged and convalescent. Asthenia - frequent sense of chill in warm room, fingers cold, appetite poor but elimination normal, though skin dry. Anorexia from cancer therapy. General preventative for hyperglycemia, early stages of insulin resistant diabetes. Anorexia nervosa, mild in adolescence; or iatrogenic from drugs. Passiflora (Lilikoi, Passion Flower, or Passion Vine) General antispasmodic for long-term use in asthma. An adjunct in chronic dyspnea as a muscle relaxant. Hypertension with elevated diastole, arterial hypertonicity; tobacco heart; palpitations in evening with emotional agitation. As an adjunct in chorea. Convulsions, when other medications may not be necessary. Delirium tremens in sthenics. Epilepsy, when aura is present but condition is marginal for standard medication. To prevent anxieties when insomnia is feared. General insomnia in sthenic individuals. Functional exophthalmus hyperfunction. Premenstrual syndrome (PMS), with insomnia, restless in evening. Colic in infants, with crying, agitated, hysterical. Cough in infants, emotional, neurotic. Materia Medica Fever in infants, agitated and hysterical with pain on palpation of hypochondrium or epigastric region. Infant teething, with usual agitation and GI disturbances. Depression, premenstrual, with congestion and uterine heaviness. Hysteria from psychoactive drug use. Headache, migraine-like, chronic in evenings without hypoglycemia. Headache in hypertensive states with ringing in ears. Paullinia (Guarana) Temporary paralysis of eye movement following migraine headache. Narcolepsy. Greenish diarrhea. Gastroenteritis with colic, green diarrhea, fever. Urticaria. Hypoglycemia, sympathomimetic. Appetite depressant. Hangover, in general. Headache, migraine, vasoconstrictor. Headache, reflex uterine, with throbbing head, cerebral hyperemia; or with red face, corners of eyes inflamed. Pedicularis (Lousewort) Insomnia from exhaustion following excitement. Muscular pain, in general. Sprains with sharp muscle spasms. Joint and muscle pain, especially in children. Peganum harmala (Esfand, Wild Rue, Syrian Rue, African Rue, or Harmal) Eczema, in general (externally). Seborrhea (externally). Acute episodic psoriasis (externally). Tinea capitatis (externally). Cradle cap (externally). Unipolar depressive states. 488 Glen Swartwout Phaseolus (Bean, or Wild Bean) Adult onset, insulin resistant diabetes (dried pod tea). Phytolacca berries (Pokeroot, Pokebush, Pokeberry, or Poke Sallet) Tinea corporis (fresh tincture). Phytolacca root (Pokeroot, Pokebush, Pokeberry, or Poke Sallet) Tongue pale, leaden, dry or sticky-moist; white-coated with white, foamy saliva. Inflamed gums from general immunosuppression. Chronic pharyngitis with hard inflamed nodes. Acute early stage tonsillitis with adenitis, swollen, engorged. Influenza with harsh hacking irritated cough with scanty blood-streaked mucus. Fatty degeneration of heart, as an adjunct therapy. Thyroid hypofunction with fluid retention, immunodepression. Eczema, with history of lymphadenitis, non- dietary fissures in corners of mouth, vagina, anus. Fibrocystic breast disease, acute phase (with Ceanothus). Orchitis/epididymitis, with hard inguinal nodes, no current infection. Acute mastitis (externally, with Ceanothus and Gossypium internally). Endogenous infections, in feeble individuals (with Echinacea and Baptisia). Cancer, supportive in lymph dysplasias. Lymphadenitis, in inguinal nodes; or w/hard, inflamed, not shotty, nodes. Mumps, acute (2 parts Phytolacca to 1 part Aconitum, in small frequent doses; also as a topical lotion 3 parts Echinacea to 1 part Phytolacca). Picraena excelsa (Quasia, Bitter-wood, Bitter-ash) Cholangitis, general antispasmodic. Cholecystalgia, general antispasmodic. Cholecystitis - for pain. Anorexia nervosa in the feeble, asthenic. Amebic diarrhea, as a preventative (with Rheum). Giardia. Atonic dyspepsia in alcoholics (acetum tincture). Materia Medica Chronic gastritis from alcoholic excess. Heartburn, with anorexia. Nausea in morning from alcohol abuse. Vomiting from alcohol abuse the night before. Pinworms, threadworms, general treatment (internal and as an enema). Entameba histolytica (with Rheum). Pilocarpus (Jaborandi) Smarting pain in eyes; increased intraocular pressure; glaucoma. Tinnitus with Meniere's syndrome. Alopecia (externally). Piper methysticum (Kava, Kava-kava) Ophthalmalgia with pain in top and back of eyeball. Neuralgia of middle ear. Cystorrhea. Cystitis, urethritis, for pain. Dysuria from heavy sexual activity. Chronic acidic dysuria, for pain. Acute cystitis/urethritis w/aching in loins, frequent burning and scanty urination. Chronic pyelitis, post lithiasis, painful urination. Ureteralgia. Ulcers, waking pain during first REM period (with Myrica). Duodenal ulcers, with pain shooting to navel. Acute prostatitis, from excessive sexual activity. Subacute/chronic prostatitis, with urethritis. Piscidia (Jamaican Dogwood) Insomnia with spasms, pain, nervous irritability, tachycardia. Cervical neuralgia. Trigeminal neuralgia. Cholangitis, general antispasmodic. 490 Glen Swartwout Plantago ovata (Desert Indianwheat, Blond Psyllium) Constipation, dry feces with scanty secretions. Pluchea camphorata (Camphor Pluchea) As an eyewash for conjunctivitis. Podophyllum (May Apple, Mayapple) Tongue white-coated with salivation; yellow-coated, dirty, with dizziness and biliousness. Chronic constipation with poor fat absorption, sluggish portal circulation. Dyspepsia with dizziness, anorexia, sick headache, coated tongue. Polygala senega (Seneca Snakeroot) Post-acute ophthalmia. Chronic pharyngitis with thick tenacious mucus. Humid bronchial asthma in aged. Acute hot dry bronchitis becoming chronic with thick mucus. Chronic bronchitis with profuse secretions. Acute cough after pneumonia with difficult expectoration. Subacute moist cough. Emphysema with moist labored breathing. Polygonum bistortoides (American Bistort, Western Bistort, Smokeweed, or Mountain Meadow Knotweed) As a mouthwash for bleeding gums. Polymnia (Uvedalia, Bear's Foot, Leaf Cup) Tonsillitis. Alopecia (externally). Mononucleosis, general supportive; or with hepatomegaly. Infectious splenitis, as supportive. Populus buds (Poplar) Materia Medica Subacute head cold with hoarseness or laryngitis. Dry laryngitis with head cold. Multiple sclerosis with distal numbness. Acute cystitis/urethritis w/aching in loins, frequent burning and scanty urination. Dysuria, when spasms occur after urination. Dyspepsia with flatulence. Anti-inflammatory in arthritis. Premenstrual syndrome (PMS), chronic every month, without insomnia (taken for 3 days before beginning of menses). Post-nasal drip. Headache, migraine-like, chronic in evenings, with dyspepsia. Prinos (Ilex Verticillata, Black Alder Winterberry, Deciduous Winterberry, Virginian Winterberry, Prinos gronovii, Prinos confertus, Fever Bush) Diarrhea in asthenics, with atomic gastric functions. Propolis (resinous glue made by bees) As a wash for chronic aphthous stomatitis. Periodontitis, topically. Herpes, topically. As a gargle in acute pharyngitis. Abscess, acute, local (topically). As a topical disinfectant for abrasions. Skin ulcers on oily, moist surfaces (externally). Prunus persica: See Amygdalus. Prunus virginiana (Chokecherry, Bitter-berry, or Virginia Bird Cherry) Recuperating bronchitis. Dry cough, hectic, painful breathing, rapid pulse. Functional dyspnea with pale face, palpitations, cardiopathies, neurosis, fear. Influenza. Acute influenza with coughing, dyspnea. 492 Glen Swartwout Acute pleurisy with hectic coughing, rapid breathing. Acute bronchial pneumonia with dyspnea. Palpitations from overexertion. Acute gastritis with cough, bronchial irritation. Chronic gastritis with abdominal tenderness. Cough in infants, with spasms. Ptelea (Hoptree, Common Hoptree, or Wafer Ash) Spasmodic asthma with constriction of chest. Anorexia nervosa in the feeble, asthenic. Anorexia nervosa, asecretory/achlorhydria. Atonic colon after intestinal infections. Constipation with poor appetite, post- febrile. Recuperating from diarrhea. Recuperating from dysentery. Dyspepsia with flatulence from overeating and digestive abuse. Asecretory dyspepsia with anorexia, atonicity. Acute or chronic gastritis, recuperation. Gastroenteritis, recuperation. Vomiting from alcohol abuse the night before. Shigellosis, recuperative period. Ulcers, subacute or chronic, not inflamed but congested. Ptychopetalum (Muira Puama) Dysuria with congestive prostate enlargements in sedentary males. Impotence/frigidity, in general; or with general lassitude, poor sacral stimulation, cold hands and feet. Pulsatilla: See Anemone. Pyrola (Wintergreen) Chronic aphthous stomatitis. Subacute renal albuminuria. Pyelitis with mucopurulent urine with RBC's and leukocytes. Materia Medica Quercus (Oak, or Tanner's Bark) As a mouthwash for bleeding gums. Acute early stages of herpes, topically. Chronic epistaxis. Capillary fragility (with bioflavonoids). Dysentery, general supportive astringent. Bleeding ulcers. Decubitus with granular ulcerations (externally). Skin ulcers with spongy granulation. Internal bruises. Rhamnus (Buckthorn, Highwaythorn, Waythorn, Hartsthorn, or Ramsthorn) Atonic colon with mucus in feces, difficult defecation, but without inflammation or fissures. Constipation, chronic atonic; or dry feces with tenesmus. Rheum officinale (Rhubarb) Tongue elongated, pointed. "Chronic" colitis. Chronic constipation, w/chronic dyspepsia; or w/sense of constriction, cramps. Burning, acrid diarrhea. Amebic diarrhea, as a preventative (with Picraena). Chronic diarrhea with semi-formed feces, frequent evacuations and debility. Dyspepsia with flatulence, slow transit time, borborygmus. Gastroenteritis w/elongated red tongue, tender abdomen, nausea, vomiting. Entameba histolytica (with Picraena). Vomiting, with diarrhea, pointed tongue. Nutritional malabsorption in poor absorption in ileum of bile acids, fat soluble vitamins, intrinsic factor or B12. Rhus aromatica (Fragrant Sumac) Incontinence, while sleeping, from chronic cystitis (with Equisetum). 494 Glen Swartwout Rhus glabra (Smooth Sumac) Aphthous stomatitis (as a wash and internally). Herpes, topically. Pulpitis. Vincent's infection (trench mouth). Acute sinusitis with ulcerations (as a nasal spray). Dysentery, general tonic when self-limiting. Rosa (Rose) Lachrymitis. Rubus idaeus (Red Raspberry) Cervicitis with dysmenorrhea and dysuria. Dysmenorrhea, towards end of menses with red blood. Acute vaginitis (sitz bath). Primipara, general, last trimester. Cystitis and urethritis in infants (as a bath). Rumex crispus (Curly Dock, Yellow Dock) Atonic colon with solitary red eruptions of buttocks, shoulders. Chronic constipation with atonic gastric functions, eruptions on face, neck, back or buttocks. Dyspepsia with sluggish liver and portal circulation (with Collinsonia). Steatorrhea, with ileocecal irritability; or with eruptions on buttocks. Acne, with few large eruptions on face, neck and buttocks. Eczema, pustular with boil cycles. Eczema, with chronic poor fat digestion, dry skin. Chronic psoriasis, when irritable bowel syndrome or colitis triggers acute episode. Thin, subanemic blood. Nutritional malabsorption in poor absorption in ileum of bile acids, fat soluble vitamins, intrinsic factor or B12. Metabolic debility, with chronic skin disorders, ulceration, easily disordered fluid homeostasis. Rumex hymenosepalus (Canaigre, Ganagra, Wild Rhubarb, Arizona Dock, or Tanner's Dock) Materia Medica Acute periodontitis, topically. Ruta (Rue) Tinnitus with Meniere's syndrome. Salix (Willow) Acute cystitis/urethritis w/aching in loins, frequent burning and scanty urination. Acute cystitis/urethritis with inflamed urethral opening. Acute dysuria with pain in back, difficult urination from sphincter irritation. Anti-inflammatory in arthritis. Salvia officinalis (Common Sage) Laryngitis, tonsillitis. Polyuria, frequent, low specific gravity urine (cold infusion). Lactation, to wean. Sanguinaria (Bloodroot) Burning pain in middle ear. Extrinsic asthma with dry spastic cough. Tinea corporis (fresh tincture). Santal (Santalum, Sandalwood) Dysuria from heavy sexual activity. Scoparius: See Cystisus scoparius. Scutellaria (Greater Scullcap, Helmet Flower, Hoodwort, or Toque) Herpes, early nerve pain, before eruptions. Supportive to other measures; anxiety syndromes in chronic cardiopathies. Functional neurocirculatory disorders; palpitations in evening with emotional agitation. Sydenham's chorea. Convulsions, when other medications may not be necessary. 496 Glen Swartwout Delirium tremens in sthenics. Epilepsy, when aura is present but condition is marginal for standard medication; petit mal while sleeping. Insomnia in sthenic individual, or from exhaustion following excitement; wakefulness in chronic disorders. Multiple sclerosis, agitated and irritable from distress and fear. Trigeminal neuralgia. Pruritus senilis, with itching. Depression with physical agitation, over- sensitivity to stimulus. Hysteria with great over-sensitivity to stimulus. Pain, neurogenic, with agitation and increased CNS sensitivity. Pain, made less bearable by fear, agitation. Senecio (Ragwort, St. James-wort, Ragweed, Stinking Nanny, Staggerwort, Dog Standard, Cankerwort, or Stammerwort) Amenorrhea, accompanying chronic, debilitating disease; or in adolescence (primary). Senna (Cassia acutifolia, Cassia senna, Cassia lenitiva, Cassia lanceolata, Cassia officinalis, Cassia aethiopica, Senna acutifolia, Sene de la palthe, Cassia angustifolia) Chronic atonic constipation. Atonic colon without inflammation but with hard, formed feces. Serenoa (Saw Palmetto, Serenoa repens, Sarenoa serrulata, Sabal, Sabal serrulata) Dysuria from heavy sexual activity. Chronic cystitis/urethritis with prostatitis. Dysuria with partial impotence. Impotence/frigidity, with dysuria. Orchitis/epididymitis, chronic in aged. Acute prostatitis, from excessive sexual activity. Subacute/chronic prostatitis, enlarged, without inflammation; or enlarged with dull ache in older males. Silphium (Rosin-weed, Compass Plant, Compass-weed, Polar Plant, Indian Cup Plant, Ragged Cup) Alopecia (externally). Silybum marianum (Milk Thistle, or Marian Thistle) Materia Medica Cirrhosis - alcoholic; Laennec's. Hepatitis - general strengthening. Thin, subanemic blood. Blood serum levels: bilirubinemia without active hepatitis. Blood serum levels: SGOT, SGPT elevations, elevated bilirubin, no active hepatitis. Simmondsia chinensis (Jojoba) Subacute vaginitis (as sitz bath). Solanum dulcamara (Woody Nightshade, Bittersweet, Dulcamara, Felonwood, Felonwort, Scarlet Berry, Violet Bloom) Epilepsy, to reduce force and lessen frequency. Dry eczema. Eczema, endogenous, metabolic. Eczema, obstinate, not reactive to any measures, with short "honeymoon". Chronic psoriasis with distinct metabolic causes. Skin ulcers with faulty circulation (internal and as a bath). Vasoneurosis, impaired circulation to extremities. Solidago (Goldenrod) Deep seated kidney pain accompanying primary treatment for nephritis. Sacral and lower lumbar pain with urethral mucus discharge. Chronic pyelitis. post lithiasis, painful urination. Spigelia (Pink Root, Indian Pink, Maryland Pink, American Wormgrass, American-Wormroot, or Starbloom) Worms, lumbricoid. Stillingia (Queen's Delight, Queen's Root, Silver Leaf, or Sapium Sylvaticum Yaw Root) To stimulate innate immunity. Lymphadenitis, with depression or agitation, strong apocrine secretions, following massage, workouts or energetic manipulations. Lymphangitis, subacute, lingering. 498 Glen Swartwout Styrax (Benzoin, Gum Benzoin, Gun Benjamin) Chronic dry unproductive bronchial cough. Swertia radiata (Frasera speciosa, Monument Plant, Elkweed, or Deer's Ears) Anorexia nervosa after GI infections. Chronic anorexia with simple dyspepsia. Chronic catarrhal dyspepsia with constipation. Nausea before eating. Diabetes/hyperglycemia - functional hyperglycemia, especially before meals (as a bitter shortly before eating). Symphytum leaf (Comfrey) Ulcers, general for pain, in place of antacids. Emollient for skin. Fissures, general orificial (external). Skin ulcers with faulty circulation (externally, fresh leaves juiced, one a day). Acute vaginitis (sitz bath). Symplocarpus foetidus: See Dracontium. Tabebuia (Pau D'arco, Taheebo, Lapacho, Ipe) Intrinsic humid asthma with chronic candidiasis. Candidiasis, after antibiotic or anti-inflammatory therapy. Colitis from candidiasis. Chronic gastritis with sulfuric, putrid belching. Eczema, from candidiasis, iatrogenic sequela. Rheumatoid arthritis. Leukorrhea, viscous, fetid (as douche and internally). Acute vulvitis, with irritation and burning (as a sitz bath). Subacute vulvitis (internally). Thrush (externally). Allergies, in general. Materia Medica Tanacetum (Feverfew) Dyspepsia with flatulence. Taraxacum (Dandelion) Tongue with white blotchy coat. Chronic aphthous stomatitis with acne, greasy skin, mild autotoxicity. Jaundice - mild, with simple unobstructed hepatic dysfunction. Hepatitis - general strengthening. Constipation with autotoxicity, mouth sores. Shigellosis, for lingering autotoxicity. Acne, from moderate autotoxicity, with mouth sores (for long-term use). Gout, for the hyperuricemia. Thin, subanemic blood with hypersensitivities. Blood serum levels: hyperlipidemia, in general. Blood serum levels: uric acid elevation. Blood serum levels: acidosis, subclinical. Tecoma stans (Yellow Trumpetbush, Yellow Bells, Geelklokkies, Yellow Elder, Ginger-Thomas) Intrinsic humid asthma with chronic candidiasis. Candidiasis, after antibiotic or anti- inflammatory therapy. Adult onset, insulin resistant diabetes. Thalictrum (Meadow Rue) Eczema, with secondary infections. Thuja (Arborvitae) As an eyewash for the early stage of styes. Chronic cystitis/urethritis with prostatitis. Incontinence in aged males with enlarged prostate, poor bladder control. Abscess, as a moistening agent in a stimulating poultice w/Althea powder as base. Skin ulcers with fetid discharge or gangrenous lesions (fresh tincture externally). Suppuration with necrosis, in strong individuals (externally). 500 Glen Swartwout Tinea corporis, tinea versicolor (fresh tincture). Acute prostatitis, with incontinence. Acute vulvitis, with irritation and burning. To stimulate innate immunity. Tribulus terrestris (Bindii, Bullhead, Burra Gokharu, Caltrop, Cat's Head, Devil's Eyelashes, Devil's Thorn, Devil's Weed, Goathead, Puncturevine, or Tackweed) Lipid lowering in arteriosclerosis. Essential hypertension. Adrenal cortex hyperfunctions from stress, with elevated lipids, uric acid, blood sugars with stomach hypersecretions. Dysuria with partial impotence. Gout, for the hyperuricemia. Impotence/frigidity, with dysuria. Thick, frontal headaches after meals. Blood serum levels: cholesterol elevations. Blood serum levels: hyperlipidemia, in general. Blood serum levels: LDL, VLDL elevated. Trifolium praetense (Red Clover) Acute cough with faucial irritability, laryngeal reflex. Appetite poor, nervous, weak (with Avena). Malnutrition, recuperation from major illness, surgery. Nutritional malabsorption in moderate parathyroid imbalances. Cancer, supportive antimetastatic. Trillium (Wakerobin, Tri Flower, Birthroot) Hematuria, in general or with sediment in urine. Mild GI hemorrhage, acute, with sharp pain. Menorrhagia, with heavy bleeding towards end of menses; or with fibroids. Uterus, inflammation. Uterine fibroids, with cyclic bleeding. Triticum repens: See Agropyron. Materia Medica Turnera (Damiana) Impotence/frigidity, from constant anxiety and depression regarding sexuality with fear of no arousal, lubrication or erection; or with physical response but with intellectual devolvement. Menarche delay (primary amenorrhea), in general. Tussilago farfara (Coltsfoot) Subacute head cold with hoarseness or laryngitis. Dry laryngitis with head cold. Acute cough with pharynx and larynx irritability. Ulmus fulva (Slippery Elm) Dryness of mouth and throat. Subacute head cold with hoarseness or laryngitis. Dry laryngitis with head cold. As a gargle in acute pharyngitis. Acute cough with pharynx and larynx irritability. Emollient for skin. Umbellularia (Bay Laurel) Headache, inner-orbital (inhalation of tincture). Urtica (Nettles) Chronic cystorrhea. Blood serum levels: acidosis, subclinical. Malnutrition, recuperation from major illness, surgery. Nutritional malabsorption in moderate parathyroid imbalances. Urtica seeds (Nettle seeds) Hair tonic. Usnea (Old Man's Beard lichen) 502 Glen Swartwout As a topical disinfectant for abrasions. Skin ulcers, general protective cover. Vaccinium (Blueberry, Huckleberry, Bilberry) Renal glycosuria. Polyuria, frequent, low specific gravity urine. Juvenile onset, insulin dependent diabetes, as an adjunct to lessen insulin use. Valeriana (Valerian) Delirium tremens in asthenics. Insomnia in asthenic individuals or in atonic, debilitated states. Neuralgia in convalescence, debility. Flatulence with emotional depression, especially in the first hour after eating. Cough in infants, with spasms. Depression with sluggish neurologic and parasympathetic functions. Hysteria, in depressive states. Veratrum viride (Green Hellebore) Hysteria with full, bounding pulse throughout body; arterial tension and bloodshot eyes; especially in fullblooded, plethoric persons. Tongue with red stripe down the center. Bronchitis (supportive in hypertensive mesomorphs with sthenic pulse). Hyperemia with above symptoms. Insomnia with above symptoms. Fever, with flushed face, bloodshot eyes, bounding pulse, vascular excess. Hysteria with full, bounding pulse, bloodshot eyes, throbbing carotids, "Incredible Hulk Syndrome". Verbascum flowers (Mullein flowers) Acute cough, from nervousness, with mucosa irritation, wheezing, dry mucus, worse lying down. Hemoptysis from fits of coughing. Acute influenza with coughing, dyspnea. Cough in infants, with spasms. Cough in infants, emotional, neurotic. Materia Medica Verbascum root (Mullein root) Chronic acidic dysuria, also for pain therefrom. Incontinence, in general; or while sleeping, from chronic cystitis. Incontinence, functional and occasional from sympathetic enervation and poor bladder tone. Incontinence in children, large quantity of urine from relaxed bladder or trigone. Verbena (Lemon Verbena) Head cold, moist with fever, aches. As an adjunct in chorea. Convulsions, when other medications may not be necessary. General insomnia in sthenic individuals. Fever in infants, agitated and hysterical with pain on palpation of hypochondrium or epigastric region. Infant teething, with usual agitation and GI disturbances. Fever, dry with deep aching pain. Veronicastrum virginicum: See Leptandra. Viburnum opulus (Guelder Rose, Cramp Bark, Snowball Tree, King's Crown, High Cranberry, Red Elder, Rose Elder, Water Elder, May Rose, Whitsun Rose, Dog Rowan Tree, Silver Bells, Whitsun Bosses, Gaitre Berries) Dysmenorrhea, in general; or with clonic spasms with intestinal cramps referred to thighs and sacral dermatomes. Leukorrhea, supportive to poor muscle tone and cramps. Menorrhagia, as a general treatment. Mittelschmerz, in general. Uterus, colic. Uterus, inflammation. Labor, false or Braxton-Hicks pains. Miscarriage, impending, with cramps as main symptom. Primipara, with history of first or second trimester miscarriage. Viburnum prunifolium (Black Haw, Sweet Haw, Stag Bush) 504 Glen Swartwout Obstinate hiccoughs. Dysmenorrhea, in general; or non-colicky lumbar and pelvic pain and scanty flow. Leukorrhea, supportive to poor muscle tone and cramps. Menorrhagia, as a general treatment. Mittelschmerz, in general. Uterus, colic. Uterus, inflammation. Labor, false or Braxton-Hicks pains. Miscarriage, impending, with cramps as main symptom. Primipara, with history of first or second trimester miscarriage. Vinca major (Greater Periwinkle) Tinnitus with Meniere's syndrome. Mild episodic hypertension. Headache, migraine, vasoconstrictor. Viola odorata (Sweet Violet) To stimulate innate immunity. Viscum album (Mistletoe, Lignum Crucis) Episodic hypertension with headache, tachycardia. Insomnia with spasms, pain, nervous irritability, tachycardia. Headache in hypertensive states with ringing in ears. Vitex agnus-castus (Chaste Tree) Palpitations in menopause or puberty from corticosteroid imbalances. Progesterone or prolactin deficiency. Dysmenorrhea, with depressions and lengthy history of PMS; or with progesterone deficiency. Menopause, basic initial treatment, if Angelica sinensis worsens symptoms. Menorrhagia, as a general preventative. Premenstrual syndrome (PMS), secondary approach. Lactation, poor quality and quantity. Materia Medica Xanthium (Cocklebur, Spiny Clot Burr) Acute cystorrhea with mucus and gravel. Chronic cystitis/urethritis with mucus. Hematuria with pain on urination. Hyperhidrosis, skin. Hysteria with sweating and strong apocrine scent. Xanthoxylum bark (Prickly Ash, Toothache Tree, Yellow Wood, Suterberry) Dry mouth with glazed surfaces and poor digestion. Chronic glossitis with hypersecretions with congestion, not inflammation. Chronic pharyngitis with semi-edema, hypersecretion. Dry cough, hectic, with dry mouth. Arteriosclerosis with dry membranes, skin; functional neurocirculatory disorders with depression, intestinal hyposecretion, flatulence; cardiovascular edema with weak circulation debility; vasoneurosis of skin and mucosa. Dizziness in aged with arteriosclerosis, atonic digestive function, dry skin. Anorexia nervosa in the feeble, asthenic. Anorexia nervosa, asecretory/achlorhydria. Chronic anorexia with depressed autonomic and myenteric stimulation. Atonic colon with asecretory upper GI functions. Chronic constipation with chronic dyspepsia. Asecretory dyspepsia. Flatulence without active inflammation. Chronic catarrhal gastritis. Peritonitis, recuperation for distention. Dry, hot skin. Senile asthenia. Chronic rheumatic pains, with dry cough,chronic indigestion, intercostal neuralgia; or with cold hands, feet, poor circulation, debility. Dysmenorrhea with poor appetite, indigestion, old sensations and constipation. Cerebral vasodilator to increase site glucose availability, as opposed to real increase in serum glucose. 506 Glen Swartwout Lymphangitis, subacute, lingering. Apathy aggravated by cold, confused, sluggish metabolism. Xanthoxylum berries (Prickly Ash berries) Chronic stomatitis. Dysentery, general tonic when self-limiting. Dyspepsia with flatulence from overeating and digestive abuse. Yucca (Yucca) Rheumatoid arthritis; anti-inflammatory in arthritis. Zea mays (Corn silk, Indian Corn) Cystorrhea. Cystitis, urethritis, for pain. Acute cystitis/urethritis in general. Acute dysuria, initial stages Acute dysuria with pain in back, difficult urination from alkaline urine and passage of phosphatic urine. Incontinence, general. Lithiasis, with irritation, inflammatory pain. Nephritis in general. Phosphaturia in general; mucopurulent. Acute pyelitis, initial stages with painful urination. Chronic pyelitis with mucopurulent alkaline urine. Chronic pyelitis, post lithiasis, painful urination. Strangury, in general. Ureteralgia, in general. Cystitis and urethritis in infants. Zingiber (Ginger) Onset of head cold with chills. Arteriosclerosis with confusion, sluggishness in aged. Colic from cathartics. Diarrhea, supportive for gas and cramps. Materia Medica Dysentery, supportive for gas and cramps. Atonic dyspepsia. Asecretory dyspepsia. Flatulence with painful intestinal spasms. Abscess, as moistening agent in a poultice with Althea powder as a base. Dry, hot skin. Metabolic debility, with poor secretions. Formulas & Compounds Alterative Syrup Lymphangitis, acute in weak individuals. Blackberry Juice Concentrate Diarrhea in infants. Chlorophyllin Skin ulcers, general protective cover. Dong Quai Jin "Surgical menopause" after 35 years of age, as a possible alternative to hormone replacement therapy. Infertility (taken 4 or 5 consecutive days a month, starting just before ovulation). Hayden's Viburnum Compound Dysmenorrhea, in general. Neutralizing Cordial "Chronic" colitis. Chronic constipation, with chronic dyspepsia; or with sense of constriction, cramps. Burning, acrid diarrhea. Dyspepsia with flatulence, slow transit time, borborygmus. 508 Glen Swartwout Flatulence with inflammation. Gastroenteritis with elongated red tongue, tender abdomen, nausea, vomiting. Heartburn with vomiting, diarrhea, stomach pain. Ulcers, general for pain, in place of antacids. Vomiting, with pointed tongue. Vomiting in children, general treatment. Pumpkin Seeds Prostatitis, preventative (with Gossypium). Rhubarb Elixir Tongue elongated, pointed. Spirit of Peppermint Vomiting in children, general treatment. Woman's Longevity Infertility, 4 or 5 consecutive days a month, starting just before ovulation Essential Oils Arctium Seed Oil Seborrhea. Balsam of Peru Abscess, to stimulate granulation (topically). Scabies (external). Balsam of Tolu Scabies (external). Cajeput Oil (Tea Tree) Materia Medica Keloids, prevention. Tinea corporis. Calendula Oil (Steeped) Keloids, prevention. To stimulate regranulation for slowly-healing sores. Clove Oil (Steeped) Children's earache. Clove Oil For application to broken teeth, lost fillings; as analgesic, disinfectant (avoid gums). Erigeron Oil Otitis media (internal). Eucalyptus Oil Influenza. Chronic gastritis with pulsation of epigastric arteries (3-5 drops). Garlic Oil (Steeped) Children's earache. Gaultheria Oil Externally for trigeminal neuralgia. Acute cystitis/urethritis with ammoniacal, purulent urine. Topical in arthritis. Strains; (externally). Muscular pain, in general (diluted external). Rheumatic pains, acute inflammatory (diluted). Hypericum Oil (Steeped) 510 Glen Swartwout Bruises (topical). Sprains, general external, without heat (externally). Rheumatic pains, acute inflammatory. Muscular pain, as a poultice or fomentation. Lavandula Oil Colic in small intestine. Dry, itchy scalp, no dandruff (external). Mentha piperita Oil Colic, in general. Flatulent colic. Colic in small intestine. "Chronic" colitis. Flatulence with painful intestinal spasms. Hiccoughs, in general (oil or spirits). Irritable bowel syndrome, in general (10-20 drops in a caps up to 4x/day, or if possible, enteric coated capsules). Mullein Flower Oil (Steeped) Children's earache. Pimenta Oil Flatulent colic. Rosmarinus Oil Dry, itchy scalp, no dandruff (external). Thuja Oil Skin ulcers with fetid discharge or gangrenous lesions (external). Tinea corporis. Verbascum Oil (Steeped) Materia Medica Burning pain in middle ear with head cold. 512 Signals: Homeopathy, Sarcodes & Nosodes Swiss physician and alchemist, Theophrastus Paracelsus says "All substances are poisons, there is none which is not a poison. The right dose differentiates a poison and a remedy." Even water, the main constituent of the biological body suit, has an LD-50, that is a lethal dose. Hence we have the perrenial truth "All good things in moderation." Homeopathy medicine will be covered in Anima Medica, Volume II of this Vis Medicatrix Naturae set. Quantum Energy: Color, Light and EMF The domain of Quantum medicine will be explored in Anima Medica, Volume II of this Vis Medicatrix Naturae set. Acupuncture & Electro-Acupuncture Acupuncture Acupuncture can help otherwise incurable diseases. Enkephalin is released in acupuncture. Acupuncture may be able to slow progressive degenerative processes when drugs can’t. Acupuncture may also be able to help reverse lost function. Acupuncture is synergistic with homeopathy and other forms of natural medicine. Electrodermal Screening Electrodiagnostic modalities like Electroacupuncture According to Voll (EAV), the Vegetative Reflex Test (VRT, formerly called the Vegatest Method) of Schimmel or other functional testing methods are often used to determine the optimum therapy, including homeopathy as well as nutrition, and even pharmaceuticals. Such methods of European Diagnostic Electroacupuncture are also termed Electrodermal Screening (EDS). High impedence measurements above 65 indicate inflammatory tendency in the associated tissue. Low measurements below 50 indicate chronic degenerative tendency. Any unsustained measurements, referred to as an indicator drop, indicate the presence in that extracellular fluid channel of incompletely ionizing toxins, that are therefore resistant to flow along the direct current powered meridian vessel in the extracellular fluid compartment. Measurements are observed to normalize to within the clinically normal range of 50 to 65 with sustainability essentially instantaneously when a well-suited (energetically resonant) medicine is brought within the body's biofield. As seen on Kirlian high voltage imagery, this field extends approximately 1 centimeter from the Materia Medica body's biological tissue. German studies have confirmed that the response is to radiant energy, as the response remains robust through a vacuum of up to 1 centimeter. 518 Outro The map is still just a map. It signifies the terrain, but where real beauty is to be found is in the journey... traversing the fullness of Truth embedded in every level of detail of the actual terrain. Only the journey in real time can breath life into these legions of angels, the willing spiritual helpers arrayed for us in this slow race into longevity and transcendance. I would love to some day share just such a foray with you, perhaps in this very room in Hawaii where I write these words... Afterward This is the most ambitious book I have, or rather, which has called to me to write. Though, much of this work was written once before, the earlier iteration being my attempt at a comprehensive, encyclopedic website, which ultimately spanned more than a thousand web pages, some of which contained an entire chapter or section's worth of material... I am not sure I like this more constrained format, as my mind works in hyperlinks. What I am sure of is that putting this book together in this more linear format has been a profoundly valuable and useful endeavor, and I pray you are able to find it so as well. I mean for it to be a resource, a reference work, but also a teaching guide book... a wizard of accelerated self healing you can call upon, even if the answers you seek exceed the pages of this tome. I am writing this for you, and I am here for you should you need, or be ready, for further steps, beyond the cognitive, potential, and theoretical. Conclusion I am grateful for whatever value, whether in naked utility or in inspiration for the heart and mind you may have found here to have you venturing this far into such a dense tome. I look forward to knowing the rest of the story, all in divine time... Postscript When I think back on my life, and realize what different choices I could have made along the way... the most profound paths I have walked have been the ones "less traveled by..." When I learned at age 30 that I would almost certainly be dead by age 40, well before my present age if I took the conventional approach to medical management, I chose to explore all the unconventional approaches to seek a better outcome. Now, nearly 30 years later, my health is better than it was then, all achieved with natural medicine under the tutelage of the body's own energetic communication system. That is not to say that this path has always been easy, or without its own challenges... I have endured massive amounts of dental restoration work to eliminate the source of heavy metals from my teeth, just a few centimeters from my brain. I have experienced countless symptoms as my body cleared the bioaccumulation of toxins from various tissues, all in its own sequence and timing... but with support. Support from a means of communication, centered on listening to the active response patterns of the body, and noticing when the introduction of a potential therapeutic energy resulted in a quieting, a dampening of any of those active stress responses engaged in by the body's remarkable intelligence, an intelligence that is founded in the eons of the past, of surviving, of healing, of cleansing and repairing with only what nature had to offer... only the tens of thousands of biological remedies our bodies are made to live and work and heal with in the natural environment. Natural medicine is an ongoing exploration with eons of successful research behind it. Modern pharmaceuticals by comparison, are not even a tick of the second hand... a brief experiment, and one governed not by the biological intelligence that processes billions of bits every second, or even by the soul's sensory awareness (mostly visual) of some 10 million bits per second, but by the rational mind, limited as it is to sequential processing on the order of 100 bits per second. Glossary AGE: Advanced Glycation Endproducts are the damaging result of excess sugars binding to the body's tissues. Anti-oxidant: by definition this is an electron donor. The most efficient source of electrons is to ensure we are connected to them from the earth, and are supplying them in abundance in the air and water. This preserves nutritional anti-oxidants for their important co-enzyme functions. Avascular: lacking a direct blood supply. The interior tissues of the eye, and even the macula lutea in the central retina, in order to be optically clear lack blood vessels once the tissue develops in utero. The remnants of the hyaline artery, active during gestation, cast shadows on the retina, called muscae voluntantes (physiological floaters). Brunescent: a yellowing of the crystalline lens of the eye. BEV: see Bio-electronics of Vincent Bio-Electronics of Vincent (BEV): BEVis an objective means of measuring and calculating energy based on both the electrical (electron) and magnetic (proton) factors in addition to the energetic information factor (photon) via ion content or conductivity (the inverse of resistivity). BEVmeasurement and analysis can be applied to blood, urine, saliva, water, nutrients, or other substances via measurement of the standard physical parameters: pH, rH2 or O.R.P., and resistivity. Biokinesiology: Biokinesiology is an advanced method of muscle testing which integrates biocommunication protocols from European electro-dermal testing (see Vegetative Reflex Test and Electroacupuncture According to Voll). Cataract: a loss of clarity of the crystalline lens of the eye. Clarity of the lens is one of the best known predictors of longevity. Carrier frequency: A carrier frequency is the frequency or rate at which an oscillating pattern repeats. It acts as the carrier of the information contained in the characteristic pattern of the waveform. The carrier Materia Medica determines the energy content of the individual photons, which transmit the wave. Each specific carrier frequency is like a different AM (amplitude modulation) radio station. Characteristic waveform: The characteristic waveform is the shape of an electromagnetic oscillation. It is determined by its specific source and represents information content of the electromagnetic oscillation. A characteristic waveform is like the programming on a radio station. Ciliary Body: the nearest circulation to the lens of the eye, and thus its remote source of nutrition. Like the joints, the lens itself is an avascular tissue. Crystalline Lens: the lens in the eye that is the densest protein in the body, the most exposed tissue to ionizing radiation, and particularly sensitive to oxidation by free radicals and glycation by sugars (producing AGE), two of the dominant processes of unhealthy aging. Dowsing: Dowsing is an ancient art of finding water or other substances through amplification of subtle body responses. Dowsers may use wooden or metal dowsing rods, a pendulum, radionic instruments or other convenient amplification devices. Dry Eye Syndrome: Most often a lack of mucin, the protein which makes the cornea wettable. This is stimulated by Vitamin A, which can be supplied directly in the form of eye drops. More severe cases often involve metal toxicity as well. Dysbiosis: an imbalance in the normal flora of the body. The body is not a sterile monoculture, but a symbiotic polyculture, right down to the mitochondria, an intracellular bacterium inherited exclusively through the maternal line. Electroacupuncture According to Voll: EAVis a form of electrodermal remedy testing developed in 1953 by Rheinhold Voll, a German dentist and medical doctor. This system allows the measurement of points and meridians that correspond to specific internal body organs and functions. Electromagnetic: Electromagnetic field radiation is composed of electrical, magnetic and information components. Electrostatic fields are produced by stationary electrical charges, such as the capacitor in a television set (even when unplugged). Magnetic fields are produced by electrical charges in constant motion, as in a direct current. When electrical charges change their pattern of motion, as in alternating current, electromagnetic radiation is produced. Information is carried in carrier and characteristics waveforms as well as scalar (information only) waves. 528 Glen Swartwout Electronic factor: The concentration of electrons in a fluid medium, such as in all biological systems is one of 3 factors, which determine biological energy via the Nernst equation. The other two factors are the magnetic factor and the ion content (electrical conductivity). Because free electrons quickly combine with free protons to produce hydrogen (H2), their concentration is measured as a function of hydrogen molecules (rH2). Fovea Centralis: normally the point of maximum visual clarity, except in night vision, since their are no rod cells in the macular area. Glaucoma: Wrongly defined as high pressure in the eyes (IOP) even by most physicians, since a high percentage of glaucomatous eyes actually have low pressure. Glaucoma has many patterns related to nutritional deficiencies and toxicities, but is ultimately the result of damage to the optic nerve. Healing Crisis: this can be a flu-like reaction observed when taking a stimulatory medicine such as homeopathy. It can be based in a cleansing or detoxification reaction, eliminating stored toxins, or can be a Herxheimer, or die-off process, eliminating bacterial endotoxins or other wastes in the case of dysbiosis. Hertz: The number of oscillations per second of an electromagnetic field is given the unit Hertz (Hz). Homeopathy: Homeopathic substances are produced by successive dilution and succussion, resulting in increasing potencies containing increasing electromagnetic carrier frequencies and decreasing chemical concentrations. Homotoxicology: Homotoxicology is the study of toxins in man. As toxins penetrate further into the system, they may enter more vital organs and tissues. They may also interfere at deeper levels within the cell and ultimately the nucleus. The reversal of this process is marked by a shift in symptoms to more superficial or less vital areas according to anatomy and histology. This detoxification process may also be marked by local metabolism of toxins accompanied inflammatory symptoms, and by increased elimination through mucus membranes, skin, urine or feces. Homeopathy: the leading form of medicine in the world today in terms of numbers of people treated, and a non-toxic medicine, free of side effects, that works by hormesis, stimulating the body to heal itself by recruiting pathways of response that have been dormant, often due to adaptation to past stresses. Modern science is finally catching up with the field of epigenetics. For over 200 years doctors in this field have watched the non-genetic inheritance of miasms. Materia Medica Hormesis: The law of dosage effect in pharmacology, also known as the Arndt-Schultz law. Small doses stimulate the body's healing mechanisms. Moderate doses irritate and suppress the ability of those pathways to produce a functional response. Larger doses destroy the same cells. Ion: A positively or negatively charged particle is an ion. Ions are capable of carrying electrical energy within the body by their movement. The total ion concentration determines the electrical conductivity of a fluid, which is one of 3 factors determining the total energy content according to the Nernst equation. The other two are the electrical and the magnetic factors. IOP: Intra-Ocular Pressure. High pressure is always an issue, but low or normal pressure does not guarantee health eye tissues and good visual function. Macula Lutea: the yellow spot in the center of the retina is avascular tissue at the center of which is the Fovea Centralis, normally the point of maximum visual clarity, except in night vision, since their are no rod cells in the macula. The macula has the highest oxygen demand of any tissue in the body, and is energetically linked to the lungs. Magnetic factor: The concentration of protons, which are positively charged ions, is measured by the magnetic factor (pH). It is one of the 3 basic factors, which determine the amount of biological energy via the Nernst equation. The other factors are the electrical factor and the ion content or electrical conductivity. Mitochondria: supply 90% of the healthy cell's energy through aerobic metabolism via the electron transport chain, which relies on the B Vitamins as co-factors, and on Oxygen to receive the spent electrons once energy has been extracted for storage and use as ATP. Muscae Voluntantes: The remnants of the hyaline artery, active during gestation, cast shadows on the retina, as physiological floaters. Toxins in the colon and food reactions can make this shadow darker and more annoying. Multi-dimensional: Multi-dimensional refers to any process, which has more than just one or two dimensions or key factors. In truth, everything is multi-dimensional. It is only our limited perception, representation or thinking about something that can appear linear (1D) or flat (2D). Space is multidimensional (3D). Space-time, which Einstein conceived to be inseparable except by the perception of each individual observer, is 4D. Physicists may now view the universe as 6D, I0D or 26D depending on the context and model proposed. 530 Glen Swartwout Pendulum: A pendulum is a simple device consisting of a suspended weight used to amplify subtle neuromuscular patterns in the arm for the detection of biological responses to subtle electromagnetic energy fields. PSC: Posterior Subcapsular Cataract. This is often a fast onset cataract affecting younger people than most other types. It often relates to immune function and typically responds very well to certain remedies including TMG and Cernilton Flower Pollen. Radiesthesia: Radionics is an approach to detection of biological responses to subtle electromagnetic energy fields using a stick-plate, which is rubbed by the fingertips. Amplification of subtle physiological changes takes place via noticeable changes in the feel and sound of the stickiness of the stick-plate. Numbers called rates may be used to identify various fields, just as these fields might be identified by names or by numbers such as frequencies, wavelengths, or other characteristics of an electromagnetic oscillation. Retracing: the tendency to reverse the steps of disease, only much faster in most cases, in the course of the healing process. Soil Based Organisms (SBO): providing enzyme systems for detoxification, biological transmutation of elements and other functions to assist in altering the course of chronic health issues. Spectroscopy: A spectroscope measures the intensity of different frequencies of electromagnetic radiation. It is not able to measure the characteristic waveforms of the radiation. The information provided by spectroscopy is therefore like knowing what channels are on the air, but not being able to identify the programming. The most sensitive indicators of the characteristic information in electromagnetic radiation are the physiological responses of biological systems. Strabismus:an eye that turns in a different direction than its fellow eye. Typically eyes turn in with an increase in acidity that causes increased muscle tension in the extra-ocular muscles, since the Medial Rectus muscles have the largest cross sectional diameter. When the metabolism becomes blocked by an even larger accumulation of the toxin, the pH swings to alkaline, and muscle tone drops below normal, resulting in an outward eye turn. In the course of restoring healthy function, it is often observed that the outward tendency (exo) will convert to inward (eso) on its way to restoring balance. This reversal of the pathway of disease in the healing process is called the eso-exo swing in this context, and in general is a form of retracing. Materia Medica Vegatetative Reflex Test: Formerly called the Vegatest Method, developed in 1979 by Dr. Helmut Schimmel, this is a method of electronic monitoring of skin resistance at an acupuncture point. Homeopathic stimuli are used to determine the patterns of causality and relief from stress at that time. Vincent: see Bio-electronics of Vincent Vitreous Body: the jelly like substance filling the back part of the eye, behind the lens. This is where most floaters occur. The vitreous is energetically linked to the large intestine. 532 Glen Swartwout Bibliography Alternative Medicine: The Definitive Guide (Compiled by The Burton Goldberg Group, Future Medicine Publishing, Inc., Puyallup, Washington, 1993). Balch JF and Balch PA. Prescription for Nutritional Healing. Garden City Park, NY:Avery Publishing Group, 1990. Berridge EW. Diseases of the Eyes. Jain Publishers, New Delhi, 1984. Brinker F. Herb Contraindications and Drug Interactions (Eclectic Medical Publications, Sandy, Oregon, 1998). Burr HS. Blueprint for Immortality: The Electric Patterns of Life (C. W. Daniel Co. Ltd. , Saffron Walden, England, 1972). Chidre D, and Martin H with Beech D. The Heartmath Solution (HarperSanFrancisco, 1999). Deville M. The Real Trace Element Problem: Their Therapeutic Applications (Centre de Recherches et d'Applications sur les Oligo-Elements). Dinshah D. Let There Be Light (Dinshah Health Society, Malaga, New Jersey, 1985). Duke J. 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The Medical and Biological Effects of Light (The New York Academy of Sciences, New York, 1985). 536 About the Author Rev. Dr. Glen Swartwout graduated Magna Cum Laude with honors in Environmental Earth Sciences and Chemistry from Dartmouth College, and received his doctorate at the top of his class in Vision Science with honors in Optics as well as Leadership, being inducted into both Beta Sigma Kappa and the Gold Key Honor Societies at the State University of New York in Manhattan, where he trained at the largest outpatient vision clinic in the world. He served as Editor, Vice President and President of the American Optometric Student Association serving 4000 international student doctor members. He is the author of over 50 professional papers, books, and software programs. His first professional office was in Tokyo, Japan. Books by Dr. Glen Refreshing Vision: Opening the Windows of the Soul Cataract Solutions: Prevention & Reversal Via Accelerated Self-Healing Healing Glaucoma Macular Degeneration... ...Macular Regeneration The Shire: Cultivating Your Future Self Materia Medica: Vis Medicatrix Naturae Electromagnetic Pollution Solutions Biofields: The New Physics of Health Materia Medica Nous Energy: Healing Power of the Pyramids Online writings http://christiascelli.wordpress.com http://doctorglen.wordpress.com http://pahoasark.wordpress.com http://selfgrowth.com/articles/user/240198 Additional contributions Natural Eye Care, An Encyclopedia (co-author with Marc Grossman, O.D., L.Ac.) Alternative Medicine, The Definitive Guide (contributor) EPFX SCIO QXCI Quantum Xeroid Eclosion Consciousness Interface (contributor) IBIS: Interactive BodyMind Information System (contributor) Online resources Website: http://DrGlen.weebly.com Fan page: http://facebook.com/DrSwartwout News: http://twitter.com/DoctorGlen Video: http://youtube.com/DoctorGlen 538